Organization
HERMANSON ORTHODONTICS P.C.
Active
Organization
HERMANSON ORTHODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HERMANSON D.D.S. (ORTHODONTIST)
(641) 752-6458
Entity
Organization
Contact information
Practice address
233 N 13TH ST, MARSHALLTOWN, IA 50158-5411
(641) 752-6458
Mailing address
233 N 13TH ST, MARSHALLTOWN, IA 50158-5411
(641) 752-6458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5771
IA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7942
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097741
—
IA
Enumeration date
11/07/2006
Last updated
09/12/2015
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