Provider Demographics
NPI:1447255955
Name:PREECE, TERRY JOE (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:JOE
Last Name:PREECE
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 1:12501 OLD SEWARD HWY
Mailing Address - Street 2:STE. C
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3507
Mailing Address - Country:US
Mailing Address - Phone:907-222-3242
Mailing Address - Fax:907-222-1454
Practice Address - Street 1:12501 OLD SEWARD HWY
Practice Address - Street 2:STE. C
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3507
Practice Address - Country:US
Practice Address - Phone:907-222-3242
Practice Address - Fax:907-222-1454
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK12741223G0001X
UT139712-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice