NPI 1447316831 · live from the CMS NPI Registry
Summer A Archibald, D.D.S.
Dentist, General Practice in Gresham, OR. National Provider Identifier 1447316831, active.
NPI record
| NPI | 1447316831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 501 Ne Hood Ave, Suite 333, Gresham, OR 97030 |
| Practice phone | 503-661-2600 |
| Enumerated | December 29, 2006 |
| Last updated | June 12, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | D8588 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.