Terry L Etter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000007451 Issued in TN

Practice address

802 N Main St
Estill Springs, TN 37330-3212

Phone

(931) 649-3238

Fax

(931) 649-3240

NPI assigned

May 24, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Estill Springs Family Dentistry, PLLC

  • General Practice Dentistry
  • Estill Springs, TN
  • NPI 1912217142
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154324119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303212",
            "telephone_number": "931-649-3238",
            "fax_number": "931-649-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303212",
            "telephone_number": "931-649-3238",
            "fax_number": "931-649-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Alan Cleek, MA,ED.S.
• Harold Randall Davis
• Lorraine Kathleen Dwyer, CMSW
• Vicki Lee Elliott
• Estill Springs Family Dentistry, PLLC
• Family Physicians of Estill Springs, P.C.
• Teri Gallagher, PHARMD.
• Deborah Lynn Gibbs, N.P.-C
• Nola Hall
• William Derek Hane, B.S.

• General Practice Dentistry in Estill Springs, TN
• Providers in Estill Springs, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.