# SENECA FAMILY DENTAL BRENDA HERRMAN, DDS, LLC

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

## Provider details

- **NPI number:** 1467817189
- **Authorized official:** DR. BRENDA HERRMAN DDS (OWNER)
- **Authorized official phone:** (417) 838-9199

## Contact information

- **Practice address:** 1406 CHESTNUT ST, SENECA, MO 64865-9261
- **Practice address phone:** (417) 776-2291
- **Practice address fax:** (888) 513-4125
- **Mailing address:** 1406 CHESTNUT ST, PO BOX 455, SENECA, MO 64865-9261
- **Mailing address phone:** (417) 776-2291
- **Mailing address fax:** (888) 513-4125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 015183 | MO | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/22/2015