Individual
RICK HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
2300 MATLOCK RD, SUITE 28, MANSFIELD, TX 76063
(817) 473-9880
(817) 473-3818
Mailing address
2300 MATLOCK RD, SUITE 28, MANSFIELD, TX 76063
(817) 473-9880
(817) 473-3818
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
016967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86D839
BCBS
TX
Enumeration date
12/19/2006
Last updated
07/08/2007
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