Edward Henry Arnold Jr., D.M.D.
Individual provider Active NPI General Practice Dentistry · Lodge Grass, MT
NPI 1467657668 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1467657668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- #5365 (KY)
- Practice address
- Harding Ave
Lodge Grass Health Center
Lodge Grass, MT 59050 - Phone
- (406) 639-2317
- Fax
- (406) 639-2976
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #5365 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodge Grass Health Center Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | #5365 | KY | Yes |
Addresses
Primary practice location
Harding Ave
Lodge Grass Health Center
Lodge Grass, MT 59050
Mailing address
PO Box 780
Lodge Grass Health Center-Harding Ave.
Lodge Grass, MT 59050
Phone (406) 639-2317
Other providers in Lodge Grass, MT
- Sarah Elizabeth Hardwick
- Lodge Grass Health Center Pharmacy
- Lodge Grass School District
- Medicine Water Peer Support
- U S Health Dept of Health & Human Services
All providers in Lodge Grass, MT · General Practice Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. 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.