Terry M. Trezek Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2000161566 Issued in MO

Legal business name

TERRY M. TREZEK DENTAL GROUP

Practice address

395 E Cherry St
Troy, MO 63379-1405

Phone

(636) 462-8599

Fax

(636) 528-8598

NPI assigned

Jun 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terry Michael Trezek, DMD

Title

Owner

Phone

(636) 462-8599

Specialties & licenses 1

Addresses

Other names 1

• Terry M. Trezek Group, LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Short, DMD

  • Dentist
  • Troy, MO
  • NPI 1356652184
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1972952653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791405",
            "telephone_number": "636-462-8599",
            "fax_number": "636-528-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791405",
            "telephone_number": "636-462-8599",
            "fax_number": "636-528-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY M. TREZEK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "TREZEK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-462-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2000161566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry M. Trezek Group, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Lynelle Swift, LPC
• Jennifer Lynn Swofford, PA-C
• Lisa Tackett
• Eugene Norman Taub, D.O.
• Ingrid D Taylor, M.D.
• Jeanine Louise Thomas, LCSW
• Kristen Michelle Tignor, PT
• Sarah Tippit, MSOT
• Kimberly Lynn Tracy, CPNP
• Lisa Anne Traynor

• General Practice Dentistry in Troy, MO
• Providers in Troy, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.