Provider Demographics
NPI:1689614588
Name:ACHTERBERG, ROBERT JAMES (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:ACHTERBERG
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:PO BOX 3405
Mailing Address - Street 2:INCYTE PATHOLOGY PS
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3405
Mailing Address - Country:US
Mailing Address - Phone:509-892-2700
Mailing Address - Fax:509-892-2740
Practice Address - Street 1:13103 E MANSFIELD
Practice Address - Street 2:INCYTE PATHOLOGY PS
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99216
Practice Address - Country:US
Practice Address - Phone:509-892-2700
Practice Address - Fax:509-892-2740
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WADE000097011223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology