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NPI 1427453711

NPI 1427453711 : ARROW DENTAL PLLC : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1427453711
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARROW DENTAL PLLC 
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Dates
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    Enumeration Date     |    10/29/2014
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    Last Update Date     |    05/04/2020
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Provider Practice Location Address
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    Address Line         |    3141 BEAUMONT CENTRE CIR SUITE 200
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40513-1960
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    Country              |    US
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    Telephone            |    859-296-4846
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    Fax                  |    859-296-2842
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Provider Business Mailing Address
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    Address Line         |    105 SPRUCE ST 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40507-2109
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    Country              |    US
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    Telephone            |    859-296-4846
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    Fax                  |    859-296-2842
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Authorized Official
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    Title or Position    |    ORTHODONTIST/OWNER
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    Name                 |    DR. JAMES GREG WHITE 
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    Credential           |    DMD, MS
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    Telephone            |    859-296-4846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    6263
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    License Number State |    KY
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