Provider Demographics
NPI:1780369710
Name:TERVEER, ERIN RACHEL (RDH, PHRDH)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RACHEL
Last Name:TERVEER
Suffix:
Gender:F
Credentials:RDH, PHRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12913 MARCY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2949
Mailing Address - Country:US
Mailing Address - Phone:402-659-4210
Mailing Address - Fax:
Practice Address - Street 1:17410 BURKE ST STE 200
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2250
Practice Address - Country:US
Practice Address - Phone:402-915-2233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
124Q00000X
416-C-21174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No124Q00000XDental ProvidersDental Hygienist