Healthcare Provider Details

I. General information

NPI: 1407746746
Provider Name (Legal Business Name): KATLYN ARNDT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E LISA DR
CHAPARRAL NM
88081-7809
US

IV. Provider business mailing address

4579 WEEPING WILLOW DR
EL PASO TX
79922-2219
US

V. Phone/Fax

Practice location:
  • Phone: 575-824-0820
  • Fax:
Mailing address:
  • Phone: 219-680-0253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number41724
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: