Herman Dental Clinic PA
Organization Active NPI Dentist · Caledonia, MN
NPI 1104800705 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1104800705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D11698 (MN)
- Legal business name
- HERMAN DENTAL CLINIC PA
- Practice address
- 620 N Highway 44/76
Caledonia, MN 55921 - Phone
- (507) 725-3341
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah R Herman, DDS
- Title
- Owner/Dentist
- Phone
- (507) 725-3341
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D11698 | MN | Yes |
Addresses
Primary practice location
620 N Highway 44/76
Caledonia, MN 55921
Mailing address
620 N Highway 44/76
Caledonia, MN 55921
Phone (507) 725-3341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 781170500 | Other | MN | MEDICAL ASSISTANCE |
Other providers in Caledonia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.