Lori Arnold Boyd, DMD
Individual provider Active NPI General Practice Dentistry · Owensboro, KY
NPI 1508988429 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508988429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6335 (KY)
- Practice address
- 2315 Mayfair Dr
Suite 22-24
Owensboro, KY 42301-4557 - Phone
- (270) 684-2397
- Fax
- (270) 852-3957
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160518001688 | KY | Order and Referring Only - Other (Physician) |
7911296736 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6335 | KY | Yes |
Addresses
Primary practice location
2315 Mayfair Dr
Suite 22-24
Owensboro, KY 42301-4557
Mailing address
2315 Mayfair Dr
Suite 22-24
Owensboro, KY 42301-4557
Phone (270) 684-2397
Other providers in Owensboro, KY
- Penny Jean Bowen
- Allyson Bowlds
- Catherine Elizabeth Bowlds
- Melissa Bowman
- Betty Boyd
- Lisa Denean Boyens
- Deborah Bradford
- Jeremy L Bradley
- Scott A Bradley
- Kelly Bradshaw
All providers in Owensboro, KY · General Practice Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.