MEDICARE: TERRY J. PREECE DDS 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	1274	AK

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	:	1992005466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRY J. PREECE DDS PC

Provider Business Mailing Address
First Line	:	12501 OLD SEWARD HWY
Second Line	:	STE. C
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-3507
Country	:	US
Telephone Number	:	907-222-3242
Fax Number	:

Provider Business Practice Location Address
First Line	:	12501 OLD SEWARD HWY
Second Line	:	STE. C
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-3507
Country	:	US
Telephone Number	:	907-222-3242
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TERRY J PREECE
Credential	:	DDS
Telephone Number	:	907-222-3242

Provider Enumeration Date	:	10/29/2010
Last Update Date	:	09/10/2012

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