NPI 1063938546

Diane Beckius Archbold, DDS

Practitioner General Practice Dentistry Scott Afb, IL

Practice location

Address: 310 W Losey St, Scott Afb, IL 62225-5250
Phone: (618) 256-6655
Mailing address: 1521 Oak Ridge CT, O Fallon, IL 62269-3004

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D13893 (MN)

Other Dentist providers in Illinois →

Registry record

NPI: 1063938546
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2017
Record last updated: 16 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.