Terry E Dornburg, DDS in Grantsville, MD - Medicare Dentist Provider

Terry E Dornburg, DDS is a medicare enrolled "Dentist" provider in Grantsville, Maryland. His current practice location is 124 Miller St, Grantsville, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 895-5955.

Terry E Dornburg is licensed to practice in Maryland (license number MD 6942) 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 1003817677.

Contact Information

	Terry E Dornburg, DDS
	124 Miller St, Grantsville, MD 21536
	(301) 895-5955
	(301) 746-8676

Map and Direction

Healthcare Provider's Profile

Full Name	Terry E Dornburg
Gender	Male
Speciality	Dentist
Location	124 Miller St, Grantsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003817677
Provider Enumeration Date: 08/04/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971725367
Enrollment ID: I20141120000180

Medical Identifiers

Medical identifiers for Terry E Dornburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003817677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	MD 6942 (Maryland)	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. Terry E Dornburg 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
Terry E Dornburg, DDS Po Box 359, 124 Miller St, Grantsville, MD 21536-0359 Ph: (301) 895-5955	Terry E Dornburg, DDS 124 Miller St, Grantsville, MD 21536 Ph: (301) 895-5955

Reviews and Comments

Dentist in Grantsville, MD

Dr. Holly Elizbeth Sisler, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 170 Miller St, Grantsville, MD 21536 Phone: 301-895-8076 Fax: 301-895-8022
Dr. C.w. Uriah Edmondson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 170 Miller St, Grantsville, MD 21536 Phone: 301-895-5780

Terry E Dornburg, DDS - Medicare Dentist in Grantsville, MD