C Terry Washburn DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26705 Issued in NY

Legal business name

C TERRY WASHBURN DDS PC

Practice address

94 Main St
Suite 204
Geneseo, NY 14454-1228

Phone

(585) 243-2421

Fax

(585) 243-3721

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By 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

Dr. C. Terry Washburn, DDS

Title

Dentist

Phone

(585) 243-2421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689879744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "address_2": "SUITE 204",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541228",
            "telephone_number": "585-243-2421",
            "fax_number": "585-243-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "address_2": "SUITE 204",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541228",
            "telephone_number": "585-243-2421",
            "fax_number": "585-243-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C TERRY WASHBURN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "585-243-2421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "26705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Geneseo, NY
• Providers in Geneseo, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.