Dr. Terrance Leo Hauck
Oral and Maxillofacial Surgeon
101 W Cascade Way Suite 103
Spokane
, Washington 99208-6003
Dr. Terrance Leo Hauck
Oral and Maxillofacial Surgeon
101 W Cascade Way Suite 103
Spokane
, Washington 99208-6003
(509) 448-8790
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Terrance Leo Hauck
- 5203 S Hogan Ct
- Spokane, WA
- Zip : 99223-8105
- Phone : (509) 448-8790
Second Address
- Dr. Terrance Leo Hauck
- 101 W Cascade Way Suite 103
- Spokane, WA
- Zip : 99208-6003
- Fax : (509) 467-6372
- Phone : (509) 468-1535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 58645 | WA |
National Provider Identifier
| NPI | 1033109723 |
|---|---|
| Provider Name | Dr. Terrance Leo Hauck |
| First Address | Spokane, WA 99223-8105 |
| Second Address | Spokane, WA 99208-6003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 153400 | L&I (01) | WA |
| 5034061 | (05) | WA |
| 58645 | LICENSE (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.