Mr Terry L Etter, DDS is a medicare enrolled "Dentist - General Practice" provider in Estill Springs, Tennessee. His current practice location is
802 N Main St, Estill Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 649-3238.
Mr Terry L Etter is licensed to practice in Tennessee (license number DS0000007451) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154324119.
Healthcare Provider's Profile
Full Name | Mr Terry L Etter |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 802 N Main St, Estill Springs, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154324119
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345568937
- Enrollment ID: I20150410001058
Medical Identifiers
Medical identifiers for Mr Terry L Etter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154324119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS0000007451 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry L Etter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Terry L Etter, DDS 802 N Main St, Estill Springs, TN 37330-3212 Ph: (931) 649-3238 | Mr Terry L Etter, DDS 802 N Main St, Estill Springs, TN 37330-3212 Ph: (931) 649-3238 |
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