Terry M. Hansen, D.D.S., P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4716 Issued in WA

Legal business name

TERRY M. HANSEN, D.D.S., P.L.L.C.

Practice address

1685 E Main Street
Freeland, WA 98249

Phone

(360) 331-5211

Fax

(888) 760-8782

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry M Hansen, D.D.S.

Title

President

Phone

(360) 331-5211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1235384330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982490537",
            "telephone_number": "360-331-5211",
            "fax_number": "888-760-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E MAIN STREET",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "98249",
            "telephone_number": "360-331-5211",
            "fax_number": "888-760-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY M. HANSEN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-331-5211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013929785",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Katherine Stansfield, M.D.
• Steven W. Musto, M.D., PLLC
• Elisa Stone
• Susan J Jones, Arnp MSN PLLC
• Leonora M Tarsitano, OTR
• Diane Linda Thiel, MSW
• Jessica Tran, PHARMD
• David Vollan, PHYSICAL THERAPIST
• Ryan Martin Vos, L.AC.
• Robert D Wagner, M.D.

• General Practice Dentistry in Freeland, WA
• Providers in Freeland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.