Provider Demographics
NPI:1114079951
Name:LUMPKIN, ARVA ORNESE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARVA
Middle Name:ORNESE
Last Name:LUMPKIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 N PARK PL SE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2068
Mailing Address - Country:US
Mailing Address - Phone:770-444-9393
Mailing Address - Fax:770-226-0404
Practice Address - Street 1:1950 N PARK PL SE
Practice Address - Street 2:SUITE 450
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2068
Practice Address - Country:US
Practice Address - Phone:770-444-9393
Practice Address - Fax:770-226-0404
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN104081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice