Gregory A Archambault in Orange Park - Dentist
Gregory A Archambault - NPI 1669453759
Gregory A Archambault is a Dentist in Orange Park, Florida. Gregory A Archambault practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory A Archambault is 1669453759. The last update date is 2013-04-12.
Gregory A Archambault's current location address is 1414 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9042693842 and fax number 9046448087. The mailing address for Gregory A Archambault is 1414 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory A Archambault |
|---|---|
| Address | 1414 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9042693842 |
| Fax Number | 9046448087 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1669453759 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2013-04-12 |
Provider Mailing Address Detail
| Address | 1414 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734591 |
| Phone Number | 9042693842 |
| Fax Number | 9046448087 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9530 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Gregory A Archambault by the Centers for Medicare & Medicaid Services?
The Gregory A Archambault has been issued the NPI (National Provider Identifier) 1669453759 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gregory A Archambault located?
The Gregory A Archambault is located at 1414 Kingsley Ave, Orange Park, FL 320734591.
What is the Gregory A Archambault's specialty and taxonomy code?
The Gregory A Archambault's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Gregory A Archambault receive its 1669453759?
The Gregory A Archambault was issued its 1669453759 on 2005-11-07, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gregory A Archambault most recently updated or revised?
The details related to Gregory A Archambault, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-12.