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NPI Code Detail

MEDICARE: DR. TERRY QUINTON BEUSSE DMD

MEDICARE:  DR. TERRY QUINTON BEUSSE  DMD
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
1122300000XDentistDN009139GA

General Provider Information

NPI Number : 1992797674
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERRY QUINTON BEUSSE DMD
Provider Business Mailing Address
First Line : PO BOX 266
Second Line : 430 OLD KINCAID ROAD
City : DANIELSVILLE
State : GA
Zip : 30633-0266
Country : US
Telephone Number : 706-788-3778
Fax Number :
Provider Business Practice Location Address
First Line : 6955 HIGHWAY 145 SOUTH
Second Line : FRANKLIN COUNTY HEALTH DEPT
City : CARNESVILLE
State : GA
Zip : 30521-0546
Country : US
Telephone Number : 706-384-5575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/08/2007

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Directions to “ DR. TERRY QUINTON BEUSSE DMD” Practice Location

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