Provider Demographics
NPI:1144512146
Name:ARNETT, PATRICK ALLEN (DMD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:ALLEN
Last Name:ARNETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-6020
Mailing Address - Country:US
Mailing Address - Phone:864-269-2951
Mailing Address - Fax:
Practice Address - Street 1:101 RUNNING FOX LN
Practice Address - Street 2:DENTAL CLINIC
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-8299
Practice Address - Country:US
Practice Address - Phone:770-843-4918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC85541223G0001X
GADN0141161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice