Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | NC4311 | NC |
NPI | 1104928449 |
---|---|
Provider Name | Dr. Michael David Arnette |
First Address | Kinston, NC 28501 |
Second Address | Kinston, NC 28501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
488296 | UNITED CONCORDIA (01) | |
7990282 | (05) | NC |
90281 | BCBS (01) | |
T63829 | (02) |