Terry, Ted Jay
Terry, Ted Jay is an individual health care provider with primary practice located at 470 Highland Ave , Coos Bay OR 97420-2243. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Terry, Ted Jay can be contacted via phone (541) 267-6673.Contact Information
Primary practice address
470 Highland Ave
Coos Bay OR 97420-2243
Phone: (541) 267-6673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4279 | Oregon |
Profile Details
| NPI number | 1164401659 |
|---|---|
| LBN Legal business name | Terry, Ted Jay |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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