Provider Demographics
NPI:1285919936
Name:TURNIDGE, ERIC A (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:TURNIDGE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-5020
Mailing Address - Country:US
Mailing Address - Phone:509-994-2030
Mailing Address - Fax:
Practice Address - Street 1:975 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-1712
Practice Address - Country:US
Practice Address - Phone:308-632-2540
Practice Address - Fax:308-633-2650
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE602420431223G0001X
MO20120128901223G0001X
NE72791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice