Amber Archey, RDH

Individual provider Active NPI Dental Hygienist · Fort Campbell, KY

NPI 1710597331 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1710597331
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
6931 (KY)
Practice address
2441 21St St
Fort Campbell, KY 42223-5582
Phone
(270) 798-8751
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6931KYMDDental Hygienist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6931 KY Yes

Addresses

Primary practice location

2441 21St St
Fort Campbell, KY 42223-5582

Mailing address

2441 21St St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751

Other providers in Fort Campbell, KY

All providers in Fort Campbell, KY · Dental Hygienist in Kentucky

Sources for this page

Verify at the official NPI Registry.