Archambault, Gregory A
Archambault, Gregory A is an sole proprietor health care provider with primary practice located at 1414 Kingsley Ave , Orange Park FL 32073-4591. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Archambault, Gregory A can be contacted via phone (904) 269-3842.Contact Information
Primary practice address
1414 Kingsley Ave
Orange Park FL 32073-4591
Phone: (904) 269-3842
Fax: (904) 644-8087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9530 | Florida |
Profile Details
| NPI number | 1669453759 |
|---|---|
| LBN Legal business name | Archambault, Gregory A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Apr 12th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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