Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION
Active
Organization
HANNA ARCHIE A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA H ARCHIE DDS (OWNER DENTIST)
(562) 630-2262
Entity
Organization
Contact information
Practice address
6616 CHERRY AVE, LONG BEACH, CA 90805-1715
(562) 630-2262
(562) 630-2244
Mailing address
6616 CHERRY AVE, LONG BEACH, CA 90805-1715
(562) 630-2262
(562) 630-2244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64093
DENTIST
CA
Enumeration date
10/29/2021
Last updated
10/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up