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NPI Code Detail

MEDICARE: ARROW DENTAL PLLC

MEDICARE: ARROW DENTAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1831710698
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARROW DENTAL PLLC
Provider Business Mailing Address
First Line : 105 SPRUCE ST
Second Line :
City : LEXINGTON
State : KY
Zip : 40507-2109
Country : US
Telephone Number : 859-300-3916
Fax Number :
Provider Business Practice Location Address
First Line : 25 E HIGH ST STE 2
Second Line :
City : MT STERLING
State : KY
Zip : 40353-1267
Country : US
Telephone Number : 859-274-4434
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAMES GREGORY WHITE
Credential :
Telephone Number : 859-300-3916
Provider Enumeration Date : 05/04/2020
Last Update Date : 05/04/2020

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