Provider Demographics
NPI:1003477498
Name:ARKEMA, TAYLOR TATE (DMD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:TATE
Last Name:ARKEMA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 COFFEE TRL
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2984
Mailing Address - Country:US
Mailing Address - Phone:804-285-1378
Mailing Address - Fax:804-285-1388
Practice Address - Street 1:4315 GROVE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-1801
Practice Address - Country:US
Practice Address - Phone:804-285-1378
Practice Address - Fax:804-285-1388
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014165851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice