William Jared Terry in Pocatello - Dentist
William Jared Terry - NPI 1093876328
William Jared Terry is a Dentist in Pocatello, Idaho. William Jared Terry practices all healthcare services and medical treatments related to Dentist. The NPI Number for William Jared Terry is 1093876328. The last update date is 2016-08-08.
William Jared Terry's current location address is 2318 Douglas St, Pocatello, Idaho. You can contact this provider via phone number 4158584755. The mailing address for William Jared Terry is 2318 Douglas St, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Jared Terry |
|---|---|
| Address | 2318 Douglas St, Pocatello, Idaho |
| Phone Number | 4158584755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093876328 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2016-08-08 |
Provider Mailing Address Detail
| Address | 2318 Douglas St |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832011851 |
| Phone Number | 4158584755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 26313 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to William Jared Terry?
The William Jared Terry has been issued the NPI (National Provider Identifier) 1093876328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the William Jared Terry's physical address?
The William Jared Terry is physically located at 2318 Douglas St, in the city of Pocatello, ID, with the postal code 832011851.
What is William Jared Terry's area of expertise and its corresponding taxonomy classification?
The William Jared Terry's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the William Jared Terry receive the assignment of its 1093876328 from the Centers for Medicare & Medicaid Services?
The William Jared Terry was issued its 1093876328 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the William Jared Terry's information last updated?
The William Jared Terry's information was last updated on 2016-08-08.