Stephen Joseph Arnold, DDS
Individual provider Active NPI Dentist · Goddard, KS
NPI 1215045463 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215045463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4911 (KS)
- Practice address
- 204 N Main
Goddard, KS 67052 - Phone
- (316) 794-2111
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4911 | KS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4911 | KS | Yes |
Addresses
Primary practice location
204 N Main
Goddard, KS 67052
Mailing address
Box 185
204 N Main
Goddard, KS 67052
Phone (316) 794-2111
Other providers in Goddard, KS
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.