Individual
DR. SHAUN WILLIAM HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 W GARDNER DR, MARION, IN 46952-1819
(766) 613-3128
Mailing address
807 W GARDNER DR, MARION, IN 46952-1819
(765) 668-8907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013371A
IN
Other
Enumeration date
06/04/2020
Last updated
05/27/2021
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