Most Relevant Information
Provider Data
| NPI Number: | 1003817677 |
| Provider Name: | TERRY E DORNBURG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | MD 6942 |
Most Important Dates
| Enumeration Date: | 08/04/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
124 MILLER ST
GRANTSVILLE
MD
21536
Practice Location Phone/Fax
| Phone: | 3018955955 |
| Fax: | 3017468676 |
Provider Mailing Location
PO BOX 359
124 MILLER ST
GRANTSVILLE
MD
215360359
Provider Mailing Phone/Fax
| Phone: | 3018955955 |
| Fax: | 3017468676 |