Provider Demographics
NPI:1407860497
Name:DR. TERRY KLAMPE, INC.
Entity Type:Organization
Organization Name:DR. TERRY KLAMPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KLAMPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:507-288-1633
Mailing Address - Street 1:2112 VIKING DR NW
Mailing Address - Street 2:DR. TERRY KLAMPE, INC
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-288-1633
Mailing Address - Fax:507-288-2716
Practice Address - Street 1:2112 VIKING DR NW
Practice Address - Street 2:DR. TERRY KLAMPE, INC
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-288-1633
Practice Address - Fax:507-288-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN092491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty