Herston Dental Services, PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 16359 Issued in FL

Legal business name

HERSTON DENTAL SERVICES, PL

Practice address

4161 Tamiami TRL
Suite 803
Port Charlotte, FL 33952-9204

Phone

(941) 255-3700

Fax

(941) 764-0812

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melody Lynn Herston, D.M.D.NPI 1720296650

Title

President

Phone

(941) 255-3700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody Lynn Herston, D.M.D.

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1720296650
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285843110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 803",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-255-3700",
            "fax_number": "941-764-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 803",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-255-3700",
            "fax_number": "941-764-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSTON DENTAL SERVICES, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-255-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 16359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Hernandez
• Torry Heroux
• Kristie Herr, LMHC
• Vanessa M Herrmann, M.S. CCC-SLP
• Elena Herschdorfer, DO
• Melody Lynn Herston, D.M.D.
• Julia Herzog, MS CCC-SLP
• William Andrew Heymann, MD, MPH
• Linda J Hickox, RDH
• Rae Ann High, MS, AGNP-C

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.