Provider Demographics
NPI:1093790495
Name:TERP, ALFRED JEROME (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JEROME
Last Name:TERP
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:UNITED STATES MILITARY ACADEMY
Mailing Address - Street 2:646 SWIFT ROAD, BLDG 606
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-1942
Mailing Address - Country:US
Mailing Address - Phone:845-938-8265
Mailing Address - Fax:845-938-4302
Practice Address - Street 1:UNITED STATES MILITARY ACADEMY
Practice Address - Street 2:646 SWIFT ROAD, BLDG 606
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1942
Practice Address - Country:US
Practice Address - Phone:845-938-8265
Practice Address - Fax:845-938-4302
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS031480L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics