# MICHAEL C HERREN DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225214547
- **Authorized official:** DR. MICHAEL C HERREN DMD (OWNER)
- **Authorized official phone:** (606) 864-4744

## Contact information

- **Practice address:** 1221 W 5TH ST, LONDON, KY 40741-1612
- **Practice address phone:** (606) 864-4744
- **Mailing address:** 1221 W 5TH ST, LONDON, KY 40741-1612
- **Mailing address phone:** (606) 864-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7414 | KY | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 11/20/2009