Nancy Lee Archibald, DDS
Individual provider Active NPI General Practice Dentistry · Rocklin, CA
NPI 1720195191 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720195191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 32674 (CA)
- Practice address
- 3101 Sunset Blvd Ste 3E
Rocklin, CA 95677-3096 - Phone
- (916) 624-5905
- Fax
- (916) 624-0374
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32674 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32674 | CA | Yes |
Addresses
Primary practice location
3101 Sunset Blvd Ste 3E
Rocklin, CA 95677-3096
Mailing address
3101 Sunset Blvd Ste 3E
Rocklin, CA 95677-3096
Phone (916) 624-5905
Other providers in Rocklin, CA
- Hermie Lorenzo Remollo Angeles
- Jared B. Antrobus
- Apple Periodontics & Dental Implants
- Nathan Appleby
- Mary Right D Aquino
- Arena Gade Wilkes Milla McClure Dental Corporation
- Arifa-Iftikhar Ahmad Medical Enterprises Inc
- Tonnesha Armstrong
- Ajla Arnaut
- Daryl Arora
All providers in Rocklin, CA · General Practice Dentistry in California
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.