Healthcare Provider Details

I. General information

NPI: 1730700576
Provider Name (Legal Business Name): ARROW DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2505 LARKIN RD STE 201
LEXINGTON KY
40503-3256
US

IV. Provider business mailing address

105 SPRUCE ST
LEXINGTON KY
40507-2109
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-6009
  • Fax:
Mailing address:
  • Phone: 859-300-3916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES GREGORY WHITE
Title or Position: PRESIDENT
Credential:
Phone: 859-300-3916