MEDICARE: DR. TERRY SHERWIN HARPER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2937	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982606075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY SHERWIN HARPER D.D.S.

Provider Business Mailing Address
First Line	:	400 SOUTH BRANCH STREET
Second Line	:
City	:	FRANKLIN
State	:	WV
Zip	:	26807-1190
Country	:	US
Telephone Number	:	304-358-2522
Fax Number	:	304-358-3087

Provider Business Practice Location Address
First Line	:	400 S BRANCH ST
Second Line	:
City	:	FRANKLIN
State	:	WV
Zip	:	26807
Country	:	US
Telephone Number	:	304-358-2522
Fax Number	:	304-358-3087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/08/2007

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