Individual
DR. ROBERT WILLIAM HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 38801 ACADEMIC DRIVE, SUITE B & C, FORT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38801 ACADEMIC DRIVE, SUITE B & C, FORT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3118
WV
122300000X
Dentist
7286
NC
1223P0300X
Periodontics
Primary
3118
WV
1223P0300X
Periodontics
7286
NC
Other
Enumeration date
12/29/2005
Last updated
06/29/2018
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