MEDICARE: DAVID M ARNDT DDS PS

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	122300000X	Dentist	6777	WA

General Provider Information

NPI Number	:	1588918809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M ARNDT DDS PS

Provider Business Mailing Address
First Line	:	1911 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2549
Country	:	US
Telephone Number	:	206-284-3780
Fax Number	:	206-284-1342

Provider Business Practice Location Address
First Line	:	1911 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2549
Country	:	US
Telephone Number	:	206-284-3780
Fax Number	:	206-284-1342

Authorized Official
Title or Position	:	OWNER / DENTIST
Name	:	DR. DAVID M ARNDT
Credential	:	DDS
Telephone Number	:	206-284-3780

Provider Enumeration Date	:	11/08/2012
Last Update Date	:	11/08/2012

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