TERRY P WYMAN (NPI# 1104083401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104083401 |
| Entity Type | Individual |
| Full Name | TERRY P WYMAN |
| Credential | DMD |
| Practice Address |
221 Eastern Ave Augusta ME 04330 |
| Practice Telephone | 2076222500 |
| Practice Fax Number | 2076233077 |
| Mailing Telephone | 2076222500 |
| Mailing Fax Number | 2076233077 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2671 | ME | Dental Providers |
| Street Address |
221 EASTERN AVE |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215035100 | Howard Anthony Bates | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2006-09-21 |
| 1881124238 | Jordanne Dunn | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2017-06-19 |
| 1427472398 | Maine Endodontics Pa | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2014-02-12 |
| 1679787402 | Howard A. Bates, D.m.d | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2007-05-10 |
| 1215140199 | James Paul Dunn | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2007-05-08 |
| 1588877310 | Dunn Dental Arts LLC, P.a. | Dentist | 221 Eastern Ave, Suite 1, Augusta, ME 04330-5930 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374598 | Thomas E Day | Dentist | 3502 Wheeler Rd, Augusta, GA 30909-1824 | 2006-12-20 |
| 1467542464 | Emmanuel C Ngoh | Dentist | 3636 Wheeler Road, Augusta, GA 30909 | 2006-10-13 |
| 1144231440 | Augusta Associates of Endodontics | Dentist | 3502 Wheeler Road, Augusta, GA 30909-1824 | 2006-08-11 |
| 1699733931 | Michelle Uson Sarno | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2006-05-03 |
| 1992295646 | Fucong Tian | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0004 | 2018-05-17 |
| 1235587908 | Wiley Lipscomb Purcell | Dentist | 3636 Wheeler Rd, Augusta, GA 30909-6626 | 2016-06-02 |
| 1427472398 | Maine Endodontics Pa | Dentist | 221 Eastern Ave, Augusta, ME 04330-5930 | 2014-02-12 |
| 1770825887 | James Wylie Gustin | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912 | 2013-03-27 |
| 1154629855 | Emmanuel C Ngoh Dmd PC | Dentist | 3636 Wheeler Rd, Augusta, GA 30909 | 2011-03-03 |
| 1407152218 | Lisiane Ferreira-susin | Dentist | 1430 John Wesley Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 | 2011-01-27 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on TERRY P WYMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.