Healthcare Provider Details

I. General information

NPI: 1790371136
Provider Name (Legal Business Name): SCOTT B HERRING DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2020
Last Update Date: 12/20/2020
Certification Date: 12/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N HIGHWAY 95
ELGIN TX
78621-1519
US

IV. Provider business mailing address

PO BOX 32
ELGIN TX
78621-0032
US

V. Phone/Fax

Practice location:
  • Phone: 512-285-3322
  • Fax: 512-285-3447
Mailing address:
  • Phone: 512-285-3322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SCOTT B HERRING
Title or Position: PRESIIDENT
Credential: DDS
Phone: 512-285-3322