Organization
ROBERT D. HERRON JR. DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D HERRON DDS (PRESIDENT)
(620) 429-1020
Entity
Organization
Contact information
Practice address
806 E MAPLE ST, COLUMBUS, KS 66725-1924
(620) 429-1020
(620) 429-3267
Mailing address
806 E MAPLE ST, PO BOX 507, COLUMBUS, KS 66725-1924
(620) 429-1020
(620) 429-3267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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