DR. TERRY R EGAN DDS - NPI 1649395393 - Dentist in Bridgeton, MO

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Dr. Terry R Egan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRY R EGAN DDS (NPI 1649395393) is an individual periodontics provider in Bridgeton, Missouri, licensed in Missouri (014516) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1649395393

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. TERRY R EGANCredential: DDS

Location Address12758 BOENKER LNBridgeton, MO 63044-2436

Mailing Address12758 Boenker LnBridgeton, MO 63044-2436 · (314) 739-3300

Phone(314) 739-3300

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1649395393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MO · 014516

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

12758 BOENKER LN, Bridgeton, MO 63044

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