Terrence L Horan, D.D.S.
Individual provider Active NPI Dentist · Waitsfield, VT
NPI 1720004260 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720004260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 593 (VT)
- Practice address
- 138 Fiddlers GRN
Unit 1
Waitsfield, VT 05673-6007 - Phone
- (802) 496-2524
- Fax
- (802) 496-6911
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 593 | VT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 593 | VT | Yes |
Addresses
Primary practice location
138 Fiddlers GRN
Unit 1
Waitsfield, VT 05673-6007
Mailing address
138 Fiddlers GRN
Unit 1
Waitsfield, VT 05673-6007
Phone (802) 496-2524
Other providers in Waitsfield, VT
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.