Provider Demographics
NPI:1861661530
Name:RUMAS, TERRY ELISE (DMD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:ELISE
Last Name:RUMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1257
Mailing Address - Country:US
Mailing Address - Phone:508-473-3424
Mailing Address - Fax:
Practice Address - Street 1:324 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1257
Practice Address - Country:US
Practice Address - Phone:508-473-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17246122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist