Terry Family Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TERRY FAMILY DENTAL, PC

Practice address

209 Corky Boyd Ave
Wills Point, TX 75169-2815

Phone

(903) 873-2523

Fax

(903) 873-4405

NPI assigned

Mar 14, 2011

Last updated

Mar 14, 2011By 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

Randell Shane Terry, DDSNPI 1700898392

Title

Owner/Dentist

Phone

(903) 873-2523

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randell S. Terry, DMD

  • Dentist
  • Wills Point, TX
  • NPI 1700898392

  General Practice

  NPD (past) Authorized official
• Ronald Brent Taylor, DDS

  • General Practice Dentistry
  • Wills Point, TX
  • NPI 1700974870
  NPD (past)

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1720386824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692815",
            "telephone_number": "903-873-2523",
            "fax_number": "903-873-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CORKY BOYD AVE",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751692815",
            "telephone_number": "903-873-2523",
            "fax_number": "903-873-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "RANDELL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-873-2523",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Elaine Sherwood, RN
• Silver Star Healthcare LLC
• Janie Lynn Smith
• Rachel Sparks, LVN
• Ronald Brent Taylor, DDS
• Randell S. Terry, DMD
• Thathiah Health Services
• Leslie Tompkins, PHARMD, RPH
• Trinity Mither Francis Hospital
• True Choice Home Health Care LLC

• General Practice Dentistry in Wills Point, TX
• Providers in Wills Point, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.