Provider Demographics
NPI:1861695447
Name:JONATHAN TERHUNE DMD
Entity type:Organization
Organization Name:JONATHAN TERHUNE DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTISTOWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:HASTINGS
Authorized Official - Last Name:TERHUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-934-5503
Mailing Address - Street 1:38 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:WILMOT
Mailing Address - State:NH
Mailing Address - Zip Code:03287-4602
Mailing Address - Country:US
Mailing Address - Phone:603-526-6151
Mailing Address - Fax:
Practice Address - Street 1:58 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-1610
Practice Address - Country:US
Practice Address - Phone:603-934-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH25391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty