Healthcare Provider Details
I. General information
NPI: 1710825286
Provider Name (Legal Business Name): GIDEON M ARNETT, DMD, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
419 E CEDAR AVE STE C201
LA CENTER WA
98629-5486
US
IV. Provider business mailing address
500 COLUMBIA ST STE B
WOODLAND WA
98674-8491
US
V. Phone/Fax
- Phone: 360-263-6331
- Fax:
- Phone: 360-225-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GIDEON
MICHAEL
ARNETT
Title or Position: OWNER
Credential: DMD
Phone: 360-949-5437