MEDICARE: DR. LOY MORGAN ARNOLD D.D.S. , M.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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	10564	TX

General Provider Information

NPI Number	:	1457578619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOY MORGAN ARNOLD D.D.S. , M.S.

Provider Business Mailing Address
First Line	:	2815 W LAKE HOUSTON PKWY
Second Line	:	STE. 106
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5227
Country	:	US
Telephone Number	:	281-446-6677
Fax Number	:	281-360-3273

Provider Business Practice Location Address
First Line	:	2815 W LAKE HOUSTON PKWY
Second Line	:	STE. 106
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5227
Country	:	US
Telephone Number	:	281-446-6677
Fax Number	:	281-360-3273

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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