Provider Demographics
NPI:1053520684
Name:ARNOLD, FREDERIC HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:HOWARD
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 1:2912 POND RUN RD
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:OH
Mailing Address - Zip Code:45157-9742
Mailing Address - Country:US
Mailing Address - Phone:513-553-6867
Mailing Address - Fax:
Practice Address - Street 1:441 VINE ST
Practice Address - Street 2:#1017
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2808
Practice Address - Country:US
Practice Address - Phone:513-641-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH130291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics