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HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION NPI 1457015943


NPI Information

NPI: 1457015943
Provider Name: HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6616 CHERRY AVE
LONG BEACH, CA
ZIP 90805
Phone: (562) 630-2262
Get Directions

HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION is a general practice dentist in Long Beach, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION NPI is 1457015943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6616 CHERRY AVE
LONG BEACH, CA
ZIP 90805-715
Phone: (562) 630-2262
Fax: (562) 630-2244

The provider's authorized official is Amanda H Archie .
The authorized official title is Owner Dentist and has the following contact phone number (562) 630-2262.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
164093OTHERCALIFORNIADENTIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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