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General NPI Number Information
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NPI Number | 1235220245
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Entity Type | Organization
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Legal Business Name | J. MICHAEL ARCHER DDS INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 S COULTER ST SUITE G
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City | AMARILLO
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State | TX
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Zip | 79106-1784
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Country | US
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Telephone | 806-355-7249
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 S COULTER ST SUITE G
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City | AMARILLO
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State | TX
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Zip | 79106-1784
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Country | US
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Telephone | 806-355-7249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN MICHAEL ARCHER
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Credential | DDS
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Telephone | 806-355-7249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 11467
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License Number State | TX
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