Healthcare Provider Details

I. General information

NPI: 1265405112
Provider Name (Legal Business Name): WILLIAM S. ARNETT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 CALIFORNIA DR
YOUNTVILLE CA
94599-1412
US

IV. Provider business mailing address

220 CALIFORNIA DRIVE
YOUNTVILLE CA
94599
US

V. Phone/Fax

Practice location:
  • Phone: 707-944-4772
  • Fax: 707-948-2530
Mailing address:
  • Phone: 707-944-4772
  • Fax: 707-948-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number21687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: