Organization
HERMAN FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L HERMAN DDS (OWNER)
(812) 882-1572
Entity
Organization
Contact information
Practice address
608 S QUAIL RUN RD, VINCENNES, IN 47591-6884
(812) 882-1572
(812) 882-4450
Mailing address
608 S QUAIL RUN RD, VINCENNES, IN 47591-6884
(812) 882-1572
(812) 882-4450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010409A
IN
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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