Michael Terrery Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHAEL TERRERY DENTISTRY PC

Practice address

3180 Rte 611
Fountain Court Suite 14
Bartonsville, PA 18321

Phone

(570) 629-1300

Fax

(570) 629-4300

NPI assigned

Sep 13, 2018

Organization subpart

No

Locations

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

Authorized official

Name

Dr. Michael J Terrery, DMD

Title

President

Phone

(570) 629-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1154804375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 RTE 611",
            "address_2": "FOUNTAIN COURT SUITE 14",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "18321",
            "telephone_number": "570-629-1300",
            "fax_number": "570-629-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 RTE 611",
            "address_2": "FOUNTAIN COURT SUITE 14",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "18321",
            "telephone_number": "570-629-1300",
            "fax_number": "570-629-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TERRERY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "TERRERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-629-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie L Kovar, C.R., LMT
• Paul Hanju Lee, DDS
• Lindsey Maula, RDN, LDN
• Tiffany Nicole Meckler, PA-C
• Pricilla Mensah
• Marisa Ann Olsommer, PA-C
• Christopher Guy Peechatka, D.C.
• Pinnacle Physical Therapy P. C.
• Prineville Dialysis LLC
• Pyramid Healthcare Inc

• All providers in Bartonsville, PA
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.