Terry E Dornburg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MD 6942 Issued in MD

Practice address

124 Miller St
Grantsville, MD 21536

Phone

(301) 895-5955

Fax

(301) 746-8676

NPI assigned

Aug 4, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003817677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "address_2": "124 MILLER ST",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215360359",
            "telephone_number": "301-895-5955",
            "fax_number": "301-746-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MILLER ST",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "21536",
            "telephone_number": "301-895-5955",
            "fax_number": "301-746-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBURG",
        "first_name": "TERRY",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "MD 6942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Calling, PT
• Steven G Class, RPH
• Daniel J Crable, M.D.
• Tammy Crayton, CRNP
• Crosswalk to Change, LLC
• Edmondson Dental Center for Maryland Public Health, Inc
• Clarice Everett, SLP
• F Daniel Jackson, MD, PA
• Goodwill Mennonite Home, Inc.
• Hollie Green, CRNP

• Dentist in Grantsville, MD
• Providers in Grantsville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.