Provider Demographics
NPI:1487789202
Name:DIERDRE L. TERLEP, DDS, PC
Entity type:Organization
Organization Name:DIERDRE L. TERLEP, DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DIERDRE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:TERLEP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-949-7246
Mailing Address - Street 1:1305 13TH ST
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-3631
Mailing Address - Country:US
Mailing Address - Phone:540-949-7246
Mailing Address - Fax:540-946-4912
Practice Address - Street 1:1305 13TH ST
Practice Address - Street 2:SUITE D-1
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3631
Practice Address - Country:US
Practice Address - Phone:540-949-7246
Practice Address - Fax:540-946-4912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center