Provider Demographics
NPI:1588775407
Name:ARNOLD, DEBRA C (DDS)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:C
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2732 ATHANIA PKWY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5904
Mailing Address - Country:US
Mailing Address - Phone:504-837-4992
Mailing Address - Fax:504-831-9644
Practice Address - Street 1:2732 ATHANIA PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5904
Practice Address - Country:US
Practice Address - Phone:504-837-4992
Practice Address - Fax:504-831-9644
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA30491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice