Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY E ARCHIBALD, DDS
Active Sole ProprietorDR. JEREMY E ARCHIBALD, DDS is a Dentist healthcare provider located in GRESHAM, Oregon. NPI 1336352368 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRESHAM, OR
Registration Details
- NPI Number
- 1336352368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2007 (19.097108570774 yrs)
- Last Updated
- Mar 31, 2016
- License
-
D8266 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
742 NE DIVISION ST STE 101GRESHAM, OR, 970303979Browse OR providers · Browse ZIP 97030
- Phone
- 5036657017
- Fax
- 5036655135
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| GRACE EUNKYOUNG PARK | DMD | 1871602722 |
| JASON INSOO YOON | DMD | 1205945169 |
| DR. JAMES ROBERT ANDERSON | DMD | 1063515260 |
| GARY L FISHER | DMD | 1902993694 |
| TRENT M WESTOVER | DMD | 1710074364 |
| JACK ALAN HEMELSTRAND | DMD | 1770672156 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.