Organization
DRS. HERINGHAUS GENERAL DENITISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L. INGEBRAND (OFFICE MANAGER)
(419) 524-7409
Entity
Organization
Contact information
Practice address
480 GLESSNER AVE, MANSFIELD, OH 44903-2056
(419) 524-7409
Mailing address
480 GLESSNER AVE, MANSFIELD, OH 44903-2056
(419) 524-7409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3870413
—
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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