# MICHAEL TERRERY DENTISTRY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154804375
- **Authorized official:** DR. MICHAEL J TERRERY DMD (PRESIDENT)
- **Authorized official phone:** (570) 629-1300

## Contact information

- **Practice address:** 3180 RTE 611, FOUNTAIN COURT SUITE 14, BARTONSVILLE, PA 18321
- **Practice address phone:** (570) 629-1300
- **Practice address fax:** (570) 629-4300
- **Mailing address:** 3180 RTE 611, FOUNTAIN COURT SUITE 14, BARTONSVILLE, PA 18321
- **Mailing address phone:** (570) 629-1300
- **Mailing address fax:** (570) 629-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/13/2018