Mary Elizabeth Arnett Jabbour, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3148 Issued in SC

Practice address

402 S Pine St
Spartanburg, SC 29302-2712

Phone

(864) 582-2371

Fax

(864) 585-1949

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1407987399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022712",
            "telephone_number": "864-582-2371",
            "fax_number": "864-585-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022712",
            "telephone_number": "864-582-2371",
            "fax_number": "864-585-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT JABBOUR",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z31485",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Anne Arlauskas, MD
• Danielle Lee Armold, DC
• Chandler Susanne Arms, DMD
• Krista M Armstrong, LPN
• Faith Olivia Arneson, DDS
• Marion L Arnett, MD
• Robert L Arnett, MD
• Robert Michael Arnett, MD
• Ernest Arnold, MD
• Justin Wayne Arnold, DO

• All providers in Spartanburg, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.