Provider Demographics
NPI:1043261175
Name:BUDAY, TERRY WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:WILLIAM
Last Name:BUDAY
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 1:4651 BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-8928
Mailing Address - Country:US
Mailing Address - Phone:810-678-2033
Mailing Address - Fax:
Practice Address - Street 1:4870 N ADAMS RD
Practice Address - Street 2:C-100
Practice Address - City:OAKLAND TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48306-1415
Practice Address - Country:US
Practice Address - Phone:248-754-1111
Practice Address - Fax:248-373-3325
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI014236122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist