Thomas W. Herfort, D.M.D.
Individual provider Active NPI General Practice Dentistry · Ironwood, MI
NPI 1376568089 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376568089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901012289 (MI)
- Practice address
- 204 Harrison St
Ironwood, MI 49938-1714 - Phone
- (906) 932-1332
- Fax
- (906) 932-4337
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901012289 | MI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901012289 | MI | Yes |
Addresses
Primary practice location
204 Harrison St
Ironwood, MI 49938-1714
Mailing address
204 Harrison St
Ironwood, MI 49938-1714
Phone (906) 932-1332
Other providers in Ironwood, MI
- Stanley Weir Gresham
- Jane Gruenke
- Allison Harr
- Susanna Lee Harris
- Billie Jo Hellen
- Gale Ann Hill
- Rosa Jane Hill
- Home Medical Products and Services, LLC
- Charles Iknayan
- Julie Imhoff
All providers in Ironwood, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.