Provider Demographics
NPI:1275750390
Name:ZAHN, TERENCE J (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:J
Last Name:ZAHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 SW HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1464
Mailing Address - Country:US
Mailing Address - Phone:406-728-0896
Mailing Address - Fax:406-728-0897
Practice Address - Street 1:690 SW HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-1464
Practice Address - Country:US
Practice Address - Phone:406-728-0896
Practice Address - Fax:406-728-0897
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1373122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist