Healthcare Provider Details

I. General information

NPI: 1073107595
Provider Name (Legal Business Name): ARNALDO NEGRON-MORALES DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2021
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 S EASTON RD
DOYLESTOWN PA
18901-2812
US

IV. Provider business mailing address

1745 S EASTON RD
DOYLESTOWN PA
18901-2812
US

V. Phone/Fax

Practice location:
  • Phone: 267-894-8850
  • Fax:
Mailing address:
  • Phone: 678-948-8502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DIO2987600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS044457
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: