Provider Demographics
NPI:1326038969
Name:KAPPLE, TERRY ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:ALLEN
Last Name:KAPPLE
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 1:214 S JEFFERSON ST
Mailing Address - Street 2:PO BOX 214
Mailing Address - City:SIGOURNEY
Mailing Address - State:IA
Mailing Address - Zip Code:52591-1516
Mailing Address - Country:US
Mailing Address - Phone:641-622-3752
Mailing Address - Fax:641-622-2428
Practice Address - Street 1:214 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SIGOURNEY
Practice Address - State:IA
Practice Address - Zip Code:52591-1516
Practice Address - Country:US
Practice Address - Phone:641-622-3752
Practice Address - Fax:641-622-2428
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA6540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0500033Medicaid
IA177360OtherDELTA - PRIMARY OFFICE
IA1500033Medicaid
IA224741OtherDELTA - SATELLITE OFFICE