Terry Lee Kresge, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019173L Issued in PA

Practice address

1339 Millersville Pike
Lancaster, PA 17603-6613

Phone

(717) 393-8324

Fax

(717) 393-4779

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1639448509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 MILLERSVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036613",
            "telephone_number": "717-393-8324",
            "fax_number": "717-393-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 MILLERSVILLE PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036613",
            "telephone_number": "717-393-8324",
            "fax_number": "717-393-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESGE",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019173L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Noel Kreider, BA
• Sophia Ellis Lauren Kreider, LPC
• Krem Capital, Inc (Ellie Mental Health - Lancaster)
• Elizabeth Longo Kresge, M.S.
• Lauren Kresge, MSOTRL
• Charles B. Krespan, M.D.
• Melissa A Kretz, CRNP
• Lindsay Krick-Bear
• Sarah Lydia Krick, LCSW
• Caitlyn Elizabeth Kristich, CRNP

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.