Individual
TIMOTHY WAYNE ARCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
9 MAIN ST, LINCOLN, ME 04457-1216
(207) 794-8790
(207) 794-6777
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
(207) 794-6777
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3002
ME
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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