# ROBERT D. HERRON JR. DDS PA

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

## Provider details

- **NPI number:** 1508206301
- **Authorized official:** DR. ROBERT D HERRON DDS (PRESIDENT)
- **Authorized official phone:** (620) 429-1020

## Contact information

- **Practice address:** 806 E MAPLE ST, COLUMBUS, KS 66725-1924
- **Practice address phone:** (620) 429-1020
- **Practice address fax:** (620) 429-3267
- **Mailing address:** 806 E MAPLE ST, PO BOX 507, COLUMBUS, KS 66725-1924
- **Mailing address phone:** (620) 429-1020
- **Mailing address fax:** (620) 429-3267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 06/26/2013
- **Last updated:** 06/26/2013