MEDICARE: DR. JEFFREY F HERMEN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5018	OK

General Provider Information

NPI Number	:	1306889290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY F HERMEN D.D.S.

Provider Business Mailing Address
First Line	:	13304 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-3021
Country	:	US
Telephone Number	:	405-621-2100
Fax Number	:	405-621-2110

Provider Business Practice Location Address
First Line	:	13304 N MACARTHUR BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-3021
Country	:	US
Telephone Number	:	405-621-2100
Fax Number	:	405-621-2110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	07/08/2007

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