# TERRY T. ANGEVINE, DDS INC

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

## Provider details

- **NPI number:** 1225261571
- **Authorized official:** DR. TERRY T. ANGEVINE D.D.S (OWNER/DR)
- **Authorized official phone:** (972) 436-1513

## Contact information

- **Practice address:** 651 CROSS TIMBERS ROAD, SUITE 103, FLOWER MOUND, TX 75028
- **Practice address phone:** (972) 436-1513
- **Practice address fax:** (972) 436-0618
- **Mailing address:** 651 CROSS TIMBERS ROAD, SUITE 103, FLOWER MOUND, TX 75028
- **Mailing address phone:** (972) 436-1513
- **Mailing address fax:** (972) 436-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 09/02/2009