# ROBERT L ARNOLD DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619044047
- **Authorized official:** DR. ROBERT L ARNOLD DDS (GENERAL PRACTITIONER)
- **Authorized official phone:** (260) 456-6073

## Contact information

- **Practice address:** 5800 FAIRFIELD AVE, SUITE 220, FORT WAYNE, IN 46807-3437
- **Practice address phone:** (260) 456-6073
- **Practice address fax:** (260) 744-9251
- **Mailing address:** 5800 FAIRFIELD AVE, SUITE 220, FORT WAYNE, IN 46807-3437
- **Mailing address phone:** (260) 456-6073
- **Mailing address fax:** (260) 744-9251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 12007213 | IN | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100052940A | — | IN |