DR. JUSTIN PARK TERRY (NPI# 1134745169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134745169 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN PARK TERRY |
| Credential | DDS |
| Practice Address |
1590 W Sherman Blvd Muskegon MI 49441-3543 |
| Mailing Address |
285 W Western Ave Apt 303 Muskegon MI 49440-1127 |
| Practice Telephone | 2317590855 |
| Mailing Telephone | 2317995665 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901600484 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453093 | Justin W Terry | Internal Medicine | 2450 W Horizon Ridge Pkwy #150, Henderson, NV 89052 | 2010-03-23 |
| 1598193039 | Justin Terry | Optometrist | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | 2013-10-18 |
| Street Address |
1590 W SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1881736353 | Ronald John Komarek | Dentist | 1704 Sherman Blvd, Muskegon, MI 49441-5371 | 2007-02-13 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1306902937 | James S Dehudy Dds Plc | Dentist | 3579 Henry Street, Muskegon, MI 49441 | 2006-12-28 |
| 1942378997 | Shelly Lynn Reilly | Dentist | 5978 Harvey St, Muskegon, MI 49444-9737 | 2006-11-30 |
| 1194894253 | Randy Kovicak | Dentist | 935 W Norton Ave, Muskegon, MI 49441-4195 | 2006-11-06 |
| 1124102538 | John Walther Mullally | Dentist | 513 Seminole Rd, Muskegon, MI 49444 | 2006-10-24 |
| 1548357411 | Gary Lukkari | Dentist | 2267 E Apple Ave, Muskegon, MI 49442-4368 | 2006-10-10 |
| Find all providers in MUSKEGON | ||||
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| 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.