Provider Demographics
NPI:1912406745
Name:BINDER, TERRI ANNE (DMD, PHD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANNE
Last Name:BINDER
Suffix:
Gender:F
Credentials:DMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HICKORY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2809
Mailing Address - Country:US
Mailing Address - Phone:973-653-3062
Mailing Address - Fax:
Practice Address - Street 1:EISAI INC
Practice Address - Street 2:155 TICE BLVD
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8406
Practice Address - Country:US
Practice Address - Phone:201-949-4639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN163171223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics