MEDICARE: WILLIAM F TERHUNE DMD PC

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	122300000X	Dentist	17374	TX

General Provider Information

NPI Number	:	1932218161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM F TERHUNE DMD PC

Provider Business Mailing Address
First Line	:	15818 LOFTY HEIGHTS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-3473
Country	:	US
Telephone Number	:	210-402-4079
Fax Number	:	210-646-6643

Provider Business Practice Location Address
First Line	:	4942 WINDSOR HILL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78239-2431
Country	:	US
Telephone Number	:	210-646-9779
Fax Number	:	210-646-6643

Authorized Official
Title or Position	:	ORTHODONTIST PRES OF PC
Name	:	DR. WILLIAM F TERHUNE
Credential	:	DMD
Telephone Number	:	210-646-9779

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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