NPI 1093750101 · live from the CMS NPI Registry
Kent Kingdon Arbuckle, D.D.S.
Dentist in Centerville, UT. National Provider Identifier 1093750101, active.
NPI record
| NPI | 1093750101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 281 S Main St, Centerville, UT 84014 |
| Practice phone | 801-292-0733 |
| Enumerated | June 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 131153-9922 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.