Erin Terwiske, DDS
Individual provider Active NPI Dentist · Haubstadt, IN
NPI 1992498968 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1992498968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12014086A (IN)
- Practice address
- 306 E State Route 68
Haubstadt, IN 47639-8200 - Phone
- (812) 768-6925
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 12014086A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haubstadt Family Dentistry LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12014086A | IN | Yes |
Addresses
Primary practice location
306 E State Route 68
Haubstadt, IN 47639-8200
Mailing address
306 E State Route 68
Haubstadt, IN 47639-8200
Phone (812) 768-6925
Other providers in Haubstadt, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. 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.