Terry, Randell S.
Terry, Randell S. is an individual health care provider with primary practice located at 209 Corky Boyd Ave , Wills Point TX 75169-2815. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Terry, Randell S. can be contacted via phone (903) 873-2523.Contact Information
Primary practice address
209 Corky Boyd Ave
Wills Point TX 75169-2815
Phone: (903) 873-2523
Fax: (903) 873-4405
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D3994 | Idaho |
Dental Providers / General Practice | 1223G0001X | 25929 | Texas |
Profile Details
NPI number | 1700898392 |
---|---|
LBN Legal business name | Terry, Randell S. |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Feb 9th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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