| Hermanson Endodontics LLC | |
|
1709 N Lincoln Ave Ste 103 Pierre SD 57501-7809 | |
| (605) 280-5966 | |
| Not Available |
| Full Name | Hermanson Endodontics LLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1709 N Lincoln Ave Ste 103, Pierre, South Dakota |
| Authorized Official Name and Position | Brian Patrick Hermanson (ENDODONTIST) |
| Authorized Official Contact | 6052805966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermanson Endodontics LLC 1709 N Lincoln Ave Ste 103 Pierre SD 57501-7809 | Hermanson Endodontics LLC 1709 N Lincoln Ave Ste 103 Pierre SD 57501-7809 Ph: (605) 280-5966 |
| NPI Number | 1902329949 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902329949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D1057 (South Dakota) | Primary |
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