Provider Demographics
NPI:1053345900
Name:LABELL, TERRY LEE (DDS, MS, PHD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LEE
Last Name:LABELL
Suffix:
Gender:M
Credentials:DDS, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17320 135TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8565
Mailing Address - Country:US
Mailing Address - Phone:425-402-1246
Mailing Address - Fax:425-481-0733
Practice Address - Street 1:17320 135TH AVE NE STE B
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8565
Practice Address - Country:US
Practice Address - Phone:425-402-1246
Practice Address - Fax:425-481-0733
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000066691223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics