DR. TERRY TOBIAS DEVORE (NPI# 1558463109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558463109 |
| Entity Type | Individual |
| Full Name | DR. TERRY TOBIAS DEVORE |
| Credential | D.D.S. |
| Practice Address |
6070 W. Jackson Street Spirit Lake ID 83869 |
| Mailing Address |
Po Box 1389 Spirit Lake ID 83869-1389 |
| Practice Telephone | 2086236400 |
| Practice Fax Number | 2086236464 |
| Mailing Telephone | 2086236400 |
| Mailing Fax Number | 2086236464 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-3702 | ID | Dental Providers |
| N | 122300000X | Dentist | 8168 | KY | Dental Providers |
| Street Address |
6070 W. JACKSON STREET |
| City | SPIRIT LAKE |
| State | ID |
| Zip Code | 83869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000172 | Nichole Streibeck | Behavior Technician | 4991 W Hwy 54, Spirit Lake, ID 83869 | 2019-12-13 |
| 1447801451 | Mountain Country Family Healthcare, Pllc | Clinic/Center | 31911 N 5th Ave, Spirit Lake, ID 83869 | 2019-09-23 |
| 1497201719 | Timberlake Family Services, Pllc | Social Worker | 6249 West Maine Street, 202, Spirit Lake, ID 83869 | 2016-08-28 |
| 1831509066 | Roxanne M Willis | Massage Therapist | 6186 W Maine St., Spirit Lake, ID 83869 | 2014-04-28 |
| 1477973832 | Deblaquiere Ent. Inc | Pharmacy | 31964 N 5th Ave, Spirit Lake, ID 83869 | 2014-04-23 |
| 1508109331 | Adam Wheeler | Physical Therapist | 31911 N 5th St, Spirit Lake, ID 83869 | 2013-03-29 |
| 1326399718 | Crystal Joy Owens | Social Worker | 6249 W Maine Street, Suite 202, Spirit Lake, ID 83869 | 2012-09-25 |
| 1831467414 | Ann Oehlert | Pharmacist | 31964 N. Fifth Ave, Spirit Lake, ID 83869 | 2011-12-09 |
| 1407940497 | Michael Victor Nowack | Physical Therapist | 6186 W Maine, Spirit Lake, ID 83869 | 2006-10-03 |
| 1578544128 | Donald A Baker | Family Medicine | 32168 N 5th Avenue, Spirit Lake, ID 83869 | 2005-11-10 |
| Find all providers in zip 83869 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598882607 | Eric Owen Nielsen | Dentist | 906 Lake St, Spirit Lake, IA 51360-1652 | 2007-03-23 |
| 1356489140 | Brandy A Lancaster | Dentist | 2210 33rd St, Spirit Lake, IA 51360-7612 | 2007-02-02 |
| 1740339860 | Lee Anthony Taito | Dentist | 3301 Highway 71 South, Suite 4, Spirit Lake, IA 51360-7634 | 2007-01-09 |
| 1104987593 | Amy Erika Hartzell | Dentist | 1510 Hill Ave., Suite D, Spirit Lake, IA 51360 | 2006-12-12 |
| 1851466791 | Frederic Richard Fischer | Dentist | 2606 17th St, Spirit Lake, IA 51360 | 2006-11-22 |
| 1265991889 | Applewhite Dental Iowa PC | Dentist | 906 Lake St, Spirit Lake, IA 51360-1652 | 2019-03-13 |
| 1699151993 | Janet L Boyes PC | Dentist | 2606 17th St, Spirit Lake, IA 51360-1093 | 2015-08-10 |
| 1578979126 | Janet Boyes | Dentist | 2606 17th St, Spirit Lake, IA 51360-1093 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1548887136 | Bald 1 Sleep Solutions LLC | Dentist | 790 N Meridian St, Blackfoot, ID 83221-4936 | 2020-06-29 |
| 1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
| 1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
| 1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
| 1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1811419930 | Kasey Hendricks | Dentist | 322 East Main St., St. Anthony, ID 83445 | 2017-07-11 |
| 1659805075 | Ryan Michael Leininger | Dentist | 205 W Highway 95, Parma, ID 83660-5519 | 2017-04-12 |
| 1346789534 | Summit Dental Care Paul, Pllc | Dentist | 207 W Ellis Street, Paul, ID 83347 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | SPIRIT LAKE |
| Zip Code | 83869 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.