Terrence Craig Monson, DDS

Individual provider Active NPI General Practice Dentistry · Bancroft, IA

NPI 1811047293 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811047293
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6169 (IA)
Practice address
212 E Ramsey St
Bancroft, IA 50517-8147
Phone
(515) 885-2456
NPI assigned
Jan 10, 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)
No

State licenses

LicenseStateTypeSpecialty
6169IAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6169 IA Yes

Addresses

Primary practice location

212 E Ramsey St
Bancroft, IA 50517-8147

Mailing address

212 E Ramsey St
Bancroft, IA 50517-8147
Phone (515) 885-2456

Other identifiers

IdentifierTypeStateIssuer
0140301MedicaidIA

Other providers in Bancroft, IA

All providers in Bancroft, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.