Jacob Arvia, DDS
Individual provider Active NPI Dentist · Lancaster, OH
NPI 1801470091 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1801470091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.026438 (OH)
- Practice address
- 1601 N Memorial Dr
Lancaster, OH 43130-1632 - Phone
- (740) 521-4142
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026438 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Dental Partners LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.026438 | OH | Yes |
Addresses
Primary practice location
1601 N Memorial Dr
Lancaster, OH 43130-1632
Mailing address
1601 N Memorial Dr
Lancaster, OH 43130-1632
Phone (740) 521-4142
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.