Healthcare Provider Details

I. General information

NPI: 1801406632
Provider Name (Legal Business Name): ARNOLD DO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 IRON POINT CIR STE 102
FOLSOM CA
95630-8596
US

IV. Provider business mailing address

9111 LA RIVIERA DR
SACRAMENTO CA
95826-2150
US

V. Phone/Fax

Practice location:
  • Phone: 914-281-0005
  • Fax:
Mailing address:
  • Phone: 914-281-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112678
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI02857800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: