Healthcare Provider Details

I. General information

NPI: 1114951670
Provider Name (Legal Business Name): MICHAEL E ARLIN DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 SOUTH NEW HOPE ROAD SUITE D
GASTONIA NC
28054
US

IV. Provider business mailing address

224 SOUTH NEW HOPE ROAD SUITE D
GASTONIA NC
28054
US

V. Phone/Fax

Practice location:
  • Phone: 704-864-0920
  • Fax: 704-864-5470
Mailing address:
  • Phone: 704-864-0920
  • Fax: 704-864-5470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number3763
License Number StateNC

VIII. Authorized Official

Name: DR. MICHAEL EDWARD ARLIN
Title or Position: PRESIDENT
Credential: DDS
Phone: 704-864-0920