Provider Demographics
NPI:1376527614
Name:TURNER, TERRENCE VERNON (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:VERNON
Last Name:TURNER
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 1:3933 N MAIZE RD, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101
Mailing Address - Country:US
Mailing Address - Phone:316-729-5670
Mailing Address - Fax:316-729-5496
Practice Address - Street 1:3933 N MAIZE RD, SUITE 100
Practice Address - Street 2:
Practice Address - City:MAIZE
Practice Address - State:KS
Practice Address - Zip Code:67101
Practice Address - Country:US
Practice Address - Phone:316-729-5670
Practice Address - Fax:316-729-5496
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS601471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics