Provider Demographics
NPI:1508988429
Name:BOYD, LORI ARNOLD (DMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ARNOLD
Last Name:BOYD
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 1:2315 MAYFAIR DR
Mailing Address - Street 2:SUITE 22-24
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-4557
Mailing Address - Country:US
Mailing Address - Phone:270-684-2397
Mailing Address - Fax:270-852-3957
Practice Address - Street 1:2315 MAYFAIR DR
Practice Address - Street 2:SUITE 22-24
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-4557
Practice Address - Country:US
Practice Address - Phone:270-684-2397
Practice Address - Fax:270-852-3957
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY63351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice