Michael David Arnette, DDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Kinston, NC
NPI 1104928449 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104928449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- NC4311 (NC)
- Practice address
- 2507 North Queen St
Kinston, NC 28501 - Phone
- (252) 527-9010
- Fax
- (252) 523-0886
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230531002975 | NC | Order and Referring Only - Oral Surgery |
6709021538 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | NC | MD | Psychologist |
| NC4311 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NC4311 | NC | Yes |
Addresses
Primary practice location
2507 North Queen St
Kinston, NC 28501
Mailing address
2507 North Queen St
Kinston, NC 28501
Phone (252) 527-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 488296 | Other | UNITED CONCORDIA | |
| 7990282 | Medicaid | NC | |
| 90281 | Other | BCBS |
Other providers in Kinston, NC
- Anderson Family Chiropractic Center, PA
- Rick Alan Anderson
- Dalton Ange
- Laura Lee Anthony
- Ritchie Murdock Applewhite
- Josephine Arnold
- Dwan L Artis
- Pradeep Subramoniam Arumugham
- Teri Vonetta Askew-Jackson
- Nawaf Ghatfan Atassi
All providers in Kinston, NC · Oral and Maxillofacial Surgery (Dentist) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.