Provider Demographics
NPI:1477577690
Name:DEMPSEY, TERRENCE WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:WILLIAM
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10110 DONALD POWERS DR.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321
Mailing Address - Country:US
Mailing Address - Phone:219-922-0222
Mailing Address - Fax:219-922-8899
Practice Address - Street 1:10110 DONALD POWERS DR.
Practice Address - Street 2:SUITE 202
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321
Practice Address - Country:US
Practice Address - Phone:219-922-0222
Practice Address - Fax:219-922-8899
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01052760A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200307650AMedicaid
IN200307650AMedicaid
ING53865Medicare UPIN