MEDICARE: HERRING DDS PLLC

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

General Provider Information

NPI Number	:	1003506700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERRING DDS PLLC

Provider Business Mailing Address
First Line	:	4203 E INDIAN SCHOOL RD STE 220
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5344
Country	:	US
Telephone Number	:	870-267-2294
Fax Number	:

Provider Business Practice Location Address
First Line	:	4203 E INDIAN SCHOOL RD STE 220
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-5344
Country	:	US
Telephone Number	:	870-267-2294
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRENT E HERRING
Credential	:	D.D.S
Telephone Number	:	870-267-2294

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	03/02/2026

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