Provider Demographics
NPI:1063431468
Name:SCHECHNER, TERRY G (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:G
Last Name:SCHECHNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:85 TANGLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8942
Mailing Address - Country:US
Mailing Address - Phone:219-462-8891
Mailing Address - Fax:
Practice Address - Street 1:2833 LINCOLN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1924
Practice Address - Country:US
Practice Address - Phone:219-838-2007
Practice Address - Fax:219-972-5267
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008141A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN130765OtherUNITED CONCORDIA
IN755187OtherUNITED CONCORDIA