Provider Demographics
NPI:1538147970
Name:ROWLAND, TERRY J (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:J
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 M 89
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-1934
Mailing Address - Country:US
Mailing Address - Phone:269-685-1316
Mailing Address - Fax:269-685-5382
Practice Address - Street 1:1299 M 89
Practice Address - Street 2:SUITE #1
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-1934
Practice Address - Country:US
Practice Address - Phone:269-685-1316
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI131991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI030480269OtherTIN FOR DENTAL PC