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Individual

DR. TERRANCE J DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7017 OLD SAUK RD, MADISON, WI 53717-1010
(608) 833-1889
Mailing address
6409 LANDFALL DR, MADISON, WI 53705-4310

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2733-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33438300
WI
Enumeration date
05/16/2006
Last updated
09/10/2025
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