Organization
JUSTIN P TERRY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN PARK TERRY DDS (OWNER)
(231) 799-5665
Entity
Organization
Contact information
Practice address
504 WATER ST, MANISTEE, MI 49660-1544
(231) 723-7957
Mailing address
1783 BLAKETON DR, GRAND RAPIDS, MI 49534-1702
(231) 799-5665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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