Individual
JEFFREY ALAN HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1228 NE 7TH ST, GRANTS PASS, OR 97526-1445
(541) 956-4197
Mailing address
1228 NE 7TH ST, GRANTS PASS, OR 97526-1445
(541) 956-4197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4057
NV
1223G0001X
General Practice Dentistry
Primary
D7663
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202719
—
NV
Enumeration date
12/05/2006
Last updated
12/11/2018
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