Terry Hubert Unfried, DDS
Individual provider Active NPI General Practice Dentistry · Fort Branch, IN
NPI 1639207285 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639207285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12007533A (IN)
- Practice address
- 808 E Mulberry St
Fort Branch, IN 47648-1665 - Phone
- (812) 753-4457
- Fax
- (812) 753-4458
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12007533A | IN | Yes |
Addresses
Primary practice location
808 E Mulberry St
Fort Branch, IN 47648-1665
Mailing address
11274 S 350 E
Haubstadt, IN 47639
Phone (812) 753-4457
Other providers in Fort Branch, IN
- South Gibson Medical Clinic Inc.
- South Gibson School Corp
- Sue A Steinmetz
- Demetra G Tolley
- Tulip Tree Health Services of Gibson County, Inc.
- David P Walters
- William G. Ahlfeld, O.D., L.L.C.
All providers in Fort Branch, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.