Ronald P Arnoldsen, DDS

Individual provider Active NPI General Practice Dentistry · Atascadero, CA

NPI 1215064639 · NPPES record last updated Jul 12, 2013

Key facts

NPI
1215064639
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
29551 (CA)
Practice address
10333 El Camino Real
Atascadero, CA 93422-5808
Phone
(805) 468-2000
Fax
(805) 468-6011
NPI assigned
Feb 27, 2007
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)
Yes

State licenses

LicenseStateTypeSpecialty
29551CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29551 CA Yes

Addresses

Primary practice location

10333 El Camino Real
Atascadero, CA 93422-5808

Mailing address

1600 9TH Street Room 150
Fiscal Allocation and Estimates Unit
Sacramento, CA 95814-6414
Phone (916) 651-9475

Other identifiers

IdentifierTypeStateIssuer
B2955101OtherMEDICAL
B2955101OtherDENTAL

Other providers in Atascadero, CA

All providers in Atascadero, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.