Terry P Wyman
Endodontist
221 Eastern Ave
Augusta
, Maine 04330
Terry P Wyman
Endodontist
221 Eastern Ave
Augusta
, Maine 04330
(207) 623-3077
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Terry P Wyman
- 221 Eastern Ave
- Augusta, ME
- Zip : 04330
- Fax : (207) 623-3077
- Phone : (207) 622-2500
Second Address
- Terry P Wyman
- 221 Eastern Ave
- Augusta, ME
- Zip : 04330
- Fax : (207) 623-3077
- Phone : (207) 622-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2671 | ME |
National Provider Identifier
| NPI | 1104083401 |
|---|---|
| Provider Name | Terry P Wyman |
| First Address | Augusta, ME 04330 |
| Second Address | Augusta, ME 04330 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2008 |
| Last Update Date | 22/05/2008 |
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.