Healthcare Provider Details

I. General information

NPI: 1104928449
Provider Name (Legal Business Name): MICHAEL DAVID ARNETTE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 NORTH QUEEN ST
KINSTON NC
28501
US

IV. Provider business mailing address

2507 NORTH QUEEN ST
KINSTON NC
28501
US

V. Phone/Fax

Practice location:
  • Phone: 252-527-9010
  • Fax: 252-523-0886
Mailing address:
  • Phone: 252-527-9010
  • Fax: 252-523-0886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberNC4311
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: