Provider Demographics
NPI:1629280698
Name:ARCHIBLE, LAUREN JIORLE (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JIORLE
Last Name:ARCHIBLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ELISSA
Other - Last Name:JIORLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1465 ROUTE 31 S
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3129
Mailing Address - Country:US
Mailing Address - Phone:908-200-7951
Mailing Address - Fax:908-323-2426
Practice Address - Street 1:1465 ROUTE 31 S
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3129
Practice Address - Country:US
Practice Address - Phone:908-200-7951
Practice Address - Fax:908-323-2426
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023436001223E0200X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes1223E0200XDental ProvidersDentistEndodontics