Provider Demographics
NPI:1932218161
Name:WILLIAM F TERHUNE DMD PC
Entity Type:Organization
Organization Name:WILLIAM F TERHUNE DMD PC
Other - Org Name:SAN ANTONIO ORTHODONTIC SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST PRES OF PC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:TERHUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-646-9779
Mailing Address - Street 1:15818 LOFTY HEIGHTS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3473
Mailing Address - Country:US
Mailing Address - Phone:210-402-4079
Mailing Address - Fax:210-646-6643
Practice Address - Street 1:4942 WINDSOR HILL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-2431
Practice Address - Country:US
Practice Address - Phone:210-646-9779
Practice Address - Fax:210-646-6643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17374122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty