Individual
DR. JOHN HERCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 SCHOOL ST, PAWTUCKET, RI 02860-5747
(972) 322-6445
Mailing address
189 KEACH POND DR, CHEPACHET, RI 02814-2834
(972) 322-6445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
38718
TX
1223G0001X
General Practice Dentistry
Primary
DEN03813
RI
Other
Enumeration date
12/05/2022
Last updated
11/04/2025
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