Provider Demographics
NPI:1063517977
Name:ARNOLD, ROBERT S (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-4104
Mailing Address - Country:US
Mailing Address - Phone:559-227-4120
Mailing Address - Fax:559-228-6831
Practice Address - Street 1:237 W SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-4104
Practice Address - Country:US
Practice Address - Phone:559-227-4120
Practice Address - Fax:559-228-6831
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39593122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist