Dr. Terrell Fred Pannkuk
Endodontist
9 East Pedregosa Street Suite B
Santa Barbara
, California 93101
Dr. Terrell Fred Pannkuk
Endodontist
9 East Pedregosa Street Suite B
Santa Barbara
, California 93101
(805) 682-6451
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Terrell Fred Pannkuk
- 9 East Pedregosa Street Suite B
- Santa Barbara, CA
- Zip : 93101
- Fax : (805) 682-6451
- Phone : (805) 682-0055
Second Address
- Dr. Terrell Fred Pannkuk
- 9 East Pedregosa Street Suite B
- Santa Barbara, CA
- Zip : 93101
- Fax : (805) 682-6451
- Phone : (805) 682-0055
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 32445 | CA |
National Provider Identifier
| NPI | 1093925323 |
|---|---|
| Provider Name | Dr. Terrell Fred Pannkuk |
| First Address | Santa Barbara, CA 93101 |
| Second Address | Santa Barbara, CA 93101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 14/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U4632 | (05) | CA |
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.