MEDICARE: DR. MICHAEL ARNETT D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	60425	KS
2	1223G0001X	General Practice Dentistry	2008028175	MO

General Provider Information

NPI Number	:	1184725509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ARNETT D.D.S.

Provider Business Mailing Address
First Line	:	1805 NW PLATTE RD STE 140
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64150-9613
Country	:	US
Telephone Number	:	816-741-6000
Fax Number	:	816-741-6005

Provider Business Practice Location Address
First Line	:	1805 NW PLATTE RD STE 140
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64150-9613
Country	:	US
Telephone Number	:	816-741-6000
Fax Number	:	816-741-6005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	04/20/2009

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