Healthcare Provider Details

I. General information

NPI: 1639150162
Provider Name (Legal Business Name): ARNOLD D SLONE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11089 CLAY DR
WALTON KY
41094-7473
US

IV. Provider business mailing address

11089 CLAY DR
WALTON KY
41094-7473
US

V. Phone/Fax

Practice location:
  • Phone: 859-485-7070
  • Fax: 859-485-2551
Mailing address:
  • Phone: 859-485-7070
  • Fax: 859-485-2551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7719
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: