Provider Demographics
NPI:1174501456
Name:ARNOLD, JOSEPH S (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 BIGGERS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-1113
Mailing Address - Country:US
Mailing Address - Phone:706-660-9291
Mailing Address - Fax:
Practice Address - Street 1:1604 12TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2938
Practice Address - Country:US
Practice Address - Phone:706-327-0337
Practice Address - Fax:706-327-7295
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0108701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice