| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAITLYN CLAIRE TERRY | 1912574302 | 2022-12-16 |
Kaitlyn Claire Terry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912574302. Registration indicates Kaitlyn Claire Terry is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Kaitlyn Claire Terry |
| Practice Office Address | 2739 ROUTE 23 STOCKHOLM, NJ US |
| Practice Office Telephone | 9736975440 |
| Mailing Address | 130 NEW RD APT D10 PARSIPPANY, NJ 070544253 US |
| Business Telephone | 9735259849 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1455 Broad St Ste 105 | Bloomfield, NJ 070033039 | 8627025234 |
| 580 S Livingston Ave | Livingston, NJ 070395411 | 9739923990 |
| 191 US Highway 206 Ste 11 | Flanders, NJ 078369002 | 9739278800 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 22DI02838700
NJ |