| Herman Dental Clinic Pa | |
|
620 N Highway 44/76 Caledonia MN 55921 | |
| (507) 725-3341 | |
| Not Available |
| Full Name | Herman Dental Clinic Pa |
|---|---|
| Speciality | Dentist |
| Location | 620 N Highway 44/76, Caledonia, Minnesota |
| Authorized Official Name and Position | Sarah R Herman (OWNER/DENTIST) |
| Authorized Official Contact | 5077253341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Dental Clinic Pa 620 N Highway 44/76 Caledonia MN 55921 Ph: (507) 725-3341 | Herman Dental Clinic Pa 620 N Highway 44/76 Caledonia MN 55921 Ph: (507) 725-3341 |
| NPI Number | 1104800705 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104800705 | NPI | - | NPPES |
| 781170500 | Other | MN | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11698 (Minnesota) | Primary |
Family Dental Center Of Caledonia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W Main, Caledonia, MN 55921 Phone: 507-725-5254 Fax: 507-725-5406 |