Provider Demographics
NPI:1598255671
Name:MCCURDY, TERRI MARIE (RDH, PHDHP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:MARIE
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:RDH, PHDHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-1504
Mailing Address - Country:US
Mailing Address - Phone:717-319-6895
Mailing Address - Fax:
Practice Address - Street 1:22 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-1504
Practice Address - Country:US
Practice Address - Phone:717-319-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH009997L124Q00000X
PAPHDH00826124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty