Provider Demographics
NPI:1255508552
Name:TERENCE WEBBER,D.D.S.
Entity Type:Organization
Organization Name:TERENCE WEBBER,D.D.S.
Other - Org Name:TERENCE WEBBER D.D.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-639-7500
Mailing Address - Street 1:5921 HARBOUR LN
Mailing Address - Street 2:500
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2158
Mailing Address - Country:US
Mailing Address - Phone:804-639-7500
Mailing Address - Fax:804-639-2844
Practice Address - Street 1:5921 HARBOUR LN
Practice Address - Street 2:500
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2158
Practice Address - Country:US
Practice Address - Phone:804-639-7500
Practice Address - Fax:804-639-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010045141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty