Provider Demographics
NPI:1649376062
Name:TERHUNE, JONATHAN HASTINGS (DMD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:HASTINGS
Last Name:TERHUNE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:WILMOT
Mailing Address - State:NH
Mailing Address - Zip Code:03287-4602
Mailing Address - Country:US
Mailing Address - Phone:603-526-6151
Mailing Address - Fax:
Practice Address - Street 1:58 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1610
Practice Address - Country:US
Practice Address - Phone:603-934-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH25391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice