Healthcare Provider Details

I. General information

NPI: 1427453711
Provider Name (Legal Business Name): ARROW DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 BEAUMONT CENTRE CIR SUITE 200
LEXINGTON KY
40513-1960
US

IV. Provider business mailing address

105 SPRUCE ST
LEXINGTON KY
40507-2109
US

V. Phone/Fax

Practice location:
  • Phone: 859-296-4846
  • Fax: 859-296-2842
Mailing address:
  • Phone: 859-296-4846
  • Fax: 859-296-2842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number6263
License Number StateKY

VIII. Authorized Official

Name: DR. JAMES GREG WHITE
Title or Position: ORTHODONTIST/OWNER
Credential: DMD, MS
Phone: 859-296-4846