Provider Demographics
NPI:1487751368
Name:ARVIN, RACHAEL N (DMD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:N
Last Name:ARVIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:RACHAEL
Other - Middle Name:N
Other - Last Name:ARVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:190 WEST LOWRY LANE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503
Mailing Address - Country:US
Mailing Address - Phone:859-276-4200
Mailing Address - Fax:859-278-3213
Practice Address - Street 1:190 WEST LOWRY LANE
Practice Address - Street 2:SUITE #100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-276-4200
Practice Address - Fax:859-278-3213
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist