Organization
RICK HERRMANN ORTHODONTICS PA
Active
Organization
RICK HERRMANN ORTHODONTICS PA
Active
Other names
Rick Herrmann DDS MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK HERRMANN DDS MS (PRESIDENT)
(817) 473-9880
Entity
Organization
Contact information
Practice address
2300 MATLOCK RD, SUITE 28, MANSFIELD, TX 76063-5019
(817) 473-9880
Mailing address
2300 MATLOCK RD, SUITE 28, MANSFIELD, TX 76063-5019
(817) 473-9880
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86D839
BCBS
TX
Enumeration date
12/18/2006
Last updated
08/22/2020
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