# HERMAN FAMILY DENTAL LLC

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

## Provider details

- **NPI number:** 1811337538
- **Authorized official:** DR. ERIC L HERMAN DDS (OWNER)
- **Authorized official phone:** (812) 882-1572

## Contact information

- **Practice address:** 608 S QUAIL RUN RD, VINCENNES, IN 47591-6884
- **Practice address phone:** (812) 882-1572
- **Practice address fax:** (812) 882-4450
- **Mailing address:** 608 S QUAIL RUN RD, VINCENNES, IN 47591-6884
- **Mailing address phone:** (812) 882-1572
- **Mailing address fax:** (812) 882-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010409A | IN | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

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