Marisol Ann Seys Herr, DDS

Individual provider Active NPI General Practice Dentistry · Litchfield, MI

NPI 1316508690 · NPPES record last updated Dec 5, 2023

Key facts

NPI
1316508690
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901023164 (MI)
Practice address
515 Marshall St
Litchfield, MI 49252-9145
Phone
(517) 542-2941
Fax
(517) 325-2806
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250626003849 MI Order and Referring Only - Dentist
Practitioner - Dentist
4385157015

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Dental Michigan PC General Practice Current
since Dec 10, 2023
Accepting new patients

Locations

515 Marshall St
Litchfield, MI 49252
Phone (517) 200-3254

Interoperability endpoints

  • Direct secure messaging: marisol.herr.p1@direct.alcona.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901023164 MI
General Practice Dentistry 1223G0001X 2901023164 MI Yes

Addresses

Primary practice location

515 Marshall St
Litchfield, MI 49252-9145

Mailing address

515 Marshall St
Litchfield, MI 49252-9145
Phone (319) 883-9214

Other practice location 1

220 N Glocheski Dr
Manistee, MI 49660-2635
Phone (231) 398-9305

Other practice location 2

904 Marquette Ave
Sault Sainte Marie, MI 49783-3301
Phone (906) 635-1566

Other names

  • Dr. Marisol Ann Seys Former name

Other providers in Litchfield, MI

All providers in Litchfield, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.