Robert D. Herron Jr. DDS PA
Organization Active NPI General Practice Dentistry · Columbus, KS
NPI 1508206301 · NPPES record last updated Jun 26, 2013
Key facts
- NPI
- 1508206301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ROBERT D. HERRON JR. DDS PA
- Practice address
- 806 E Maple St
Columbus, KS 66725-1924 - Phone
- (620) 429-1020
- Fax
- (620) 429-3267
- NPI assigned
- Jun 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert D Herron, DDS
- Title
- President
- Phone
- (620) 429-1020
Practitioners 3
-
Robert D Herron Jr., DDS PA
-
Samantha L Mahoney, DDS
-
Joshua Scott Prather, DDS
National Provider Directory
Locations
806 E Maple St
Columbus, KS 66725
Phone (620) 429-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | |||
| General Practice Dentistry |
1223G0001X | Yes | ||
| Pediatric Dentistry |
1223P0221X | |||
| Periodontics |
1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X |
Addresses
Primary practice location
806 E Maple St
Columbus, KS 66725-1924
Mailing address
806 E Maple St
PO Box 507
Columbus, KS 66725-1924
Phone (620) 429-1020
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2013. 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.