Healthcare Provider Details

I. General information

NPI: 1306134036
Provider Name (Legal Business Name): FRANCISCO M HERRERO-NATER DMD, CAGS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 09/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4732 S KIRKMAN RD
ORLANDO FL
32811-3643
US

IV. Provider business mailing address

322 E CENTRAL BLVD APT 302
ORLANDO FL
32801-1961
US

V. Phone/Fax

Practice location:
  • Phone: 407-292-7373
  • Fax:
Mailing address:
  • Phone: 787-406-7263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN 20841
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: