| Arnold Dentistry, PA | |
|
257 W Brandon Blvd Brandon FL 33511-5103 | |
| (813) 689-1529 | |
| (813) 684-8595 |
| Full Name | Arnold Dentistry, PA |
|---|---|
| Speciality | Dentist |
| Location | 257 W Brandon Blvd, Brandon, Florida |
| Authorized Official Name and Position | Scott Arnold (OWNER) |
| Authorized Official Contact | 9136891529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arnold Dentistry, PA 257 W Brandon Blvd Brandon FL 33511-5103 Ph: (813) 689-1529 | Arnold Dentistry, PA 257 W Brandon Blvd Brandon FL 33511-5103 Ph: (813) 689-1529 |
| NPI Number | 1770009649 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 7416327887 |
|---|---|
| Medicare Enrollment ID | O20221228003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770009649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14255 (Florida) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
| Provider Name | Scott Arnold |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619997681 PECOS PAC ID: 8325418791 Enrollment ID: I20221228003118 |
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