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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