Individual
DR. ROBERT ALEXANDER HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
3111 SPRINGBANK LN., SUITE A, CHARLOTTE, NC 28226
(704) 541-3603
(704) 541-3619
Mailing address
3111 SPRINGBANK LN., SUITE A, CHARLOTTE, NC 28226
(704) 541-3603
(704) 541-3619
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
24595
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01083
BCBS
—
01
—
0581487
AETNA
—
01
—
1221384
UNITED HEALTHCARE
—
01
—
1519273
CIGNA
—
01
—
19579
WELLPATH
—
01
—
560953592
TAX ID
—
05
—
8993844
—
NC
Enumeration date
05/19/2006
Last updated
08/27/2018
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