| Michael C Herren Dmd | |
|
1221 W 5th St London KY 40741-1612 | |
| (606) 864-4744 | |
| Not Available |
| Full Name | Michael C Herren Dmd |
|---|---|
| Speciality | Dentist |
| Location | 1221 W 5th St, London, Kentucky |
| Authorized Official Name and Position | Michael C Herren (OWNER) |
| Authorized Official Contact | 6068644744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Herren Dmd 1221 W 5th St London KY 40741-1612 Ph: (606) 864-4744 | Michael C Herren Dmd 1221 W 5th St London KY 40741-1612 Ph: (606) 864-4744 |
| NPI Number | 1225214547 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225214547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7414 (Kentucky) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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