Individual
DR. TERRY A POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 W HILL RD, SUITE B, FLINT, MI 48507
(810) 232-0300
(810) 232-0392
Mailing address
1111 W HILL RD, SUITE B, FLINT, MI 48507-4724
(810) 232-0300
(810) 232-0392
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4039003
—
MI
Enumeration date
10/17/2006
Last updated
07/08/2007
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