# JERROLDHERMAN,D.D.S.,P.C.

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

## Provider details

- **NPI number:** 1740457639
- **Authorized official:** DR. JERROLD HERMAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (248) 552-0700

## Contact information

- **Practice address:** 17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 48076-4728
- **Practice address phone:** (248) 552-0700
- **Mailing address:** 17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 48076-4728
- **Mailing address phone:** (248) 552-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11447 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2008
- **Last updated:** 05/11/2008