Provider Demographics
NPI:1548389059
Name:ARVIN & ARVIN PROFESSIONAL DENTISTRY
Entity Type:Organization
Organization Name:ARVIN & ARVIN PROFESSIONAL DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-276-4200
Mailing Address - Street 1:190 W LOWRY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3024
Mailing Address - Country:US
Mailing Address - Phone:859-276-4200
Mailing Address - Fax:859-278-3213
Practice Address - Street 1:190 W LOWRY LN STE 100
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3024
Practice Address - Country:US
Practice Address - Phone:859-276-4200
Practice Address - Fax:859-278-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY61341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty