Robert James Achterberg, DDS MS
Individual provider Active NPI Oral and Maxillofacial Pathology Dentistry · Spokane, WA
NPI 1689614588 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689614588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Pathology Dentistry 1223P0106X
- License
- DE00009701 (WA)
- Practice address
- 13103 E Mansfield
Incyte Pathology PS
Spokane, WA 99216 - Phone
- (509) 892-2700
- Fax
- (509) 892-2740
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009701 | WA | MD | Oral and Maxillofacial Pathology Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DE00009701 | WA | Yes |
Addresses
Primary practice location
13103 E Mansfield
Incyte Pathology PS
Spokane, WA 99216
Mailing address
PO Box 3405
Incyte Pathology PS
Spokane, WA 99220-3405
Phone (509) 892-2700
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All providers in Spokane, WA · Oral and Maxillofacial Pathology Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.