Craig Michael Herrmann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014922 Issued in MI

Practice address

102 W Monroe St
Bangor, MI 49013-1333

Phone

(269) 427-7106

NPI assigned

Jul 20, 2007

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Craig M. Herrmann, D.D.S.,P.L.C

  • General Practice Dentistry
  • Bangor, MI
  • NPI 1235866112
  NPD Authorized official

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1679773303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490131333",
            "telephone_number": "269-427-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MONROE ST",
            "city": "BANGOR",
            "state": "MI",
            "postal_code": "490131333",
            "telephone_number": "269-427-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Fuller
• Araceli Garcia, CHW
• Audria Gilliland, RN
• Terri Lynn Harbin Ilg, RDH
• Rickie Lynn Hernandez
• Laurie Hixson
• Hometown Pharmacy Inc (Swanstra Pharmacy)
• Amy Howay
• Holly Husted, NP
• Intercare Community Health Network

• General Practice Dentistry in Bangor, MI
• Providers in Bangor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.