Healthcare Provider Details

I. General information

NPI: 1346055563
Provider Name (Legal Business Name): JAYLA NICOLE ARNOLD DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W 3RD ST
DAYTON OH
45428-9000
US

IV. Provider business mailing address

1506 URBAN DR
COLUMBUS OH
43229-5134
US

V. Phone/Fax

Practice location:
  • Phone: 937-262-2102
  • Fax:
Mailing address:
  • Phone: 614-735-7149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30028306
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: