Provider Demographics
NPI:1821160409
Name:DRIGGERS, TERRY L (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:L
Last Name:DRIGGERS
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 1:505 DANCE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486
Mailing Address - Country:US
Mailing Address - Phone:979-345-5135
Mailing Address - Fax:979-345-5255
Practice Address - Street 1:505 DANCE DRIVE
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486
Practice Address - Country:US
Practice Address - Phone:979-345-5135
Practice Address - Fax:979-345-5255
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist