MEDICARE: MICHAEL D ARNETT, DDS, PC

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	2008028175	MO

General Provider Information

NPI Number	:	1992948079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL D ARNETT, DDS, PC

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

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

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL D ARNETT
Credential	:	D.D.S.
Telephone Number	:	816-741-6000

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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