Jerroldherman,D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11447 Issued in MI

Legal business name

JERROLDHERMAN,D.D.S.,P.C.

Practice address

17550 W 11 Mile Rd
Suite B
Lathrup Village, MI 48076-4728

Phone

(248) 552-0700

NPI assigned

May 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerrold Herman, D.D.S.

Title

President

Phone

(248) 552-0700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210464000000",
    "number": "1740457639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17550 W 11 MILE RD",
            "address_2": "SUITE B",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764728",
            "telephone_number": "248-552-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 W 11 MILE RD",
            "address_2": "SUITE B",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764728",
            "telephone_number": "248-552-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROLDHERMAN,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-11",
        "last_updated": "2008-05-11",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2008; 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.