Individual
MARTHA JANE HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Mailing address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-2509
(337) 239-9764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22056
TX
122300000X
Dentist
Primary
5479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000562408
UNITED CONCORDIA
TX
05
—
091323802
—
TX
01
—
G60068-01
TEXAS CHIP
TX
Enumeration date
05/01/2008
Last updated
09/02/2022
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