Individual
DR. MATTHEW CARL HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
36283 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7322
(480) 386-6978
(480) 452-1644
Mailing address
36283 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7322
(480) 386-6978
(480) 452-1644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9164
AZ
1223P0221X
Pediatric Dentistry
Primary
9164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042559
—
AZ
Enumeration date
07/12/2013
Last updated
07/21/2022
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