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NPI Code Detail

MEDICARE: DR. JOHN J HERMAN D.D.S.

MEDICARE: DR. JOHN J HERMAN 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
1122300000XDentist35898NY

General Provider Information

NPI Number : 1265436190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J HERMAN D.D.S.
Provider Business Mailing Address
First Line : 317 FOREST DR
Second Line :
City : WEST SENECA
State : NY
Zip : 14224-1512
Country : US
Telephone Number : 716-675-1944
Fax Number :
Provider Business Practice Location Address
First Line : 1877 UNION RD
Second Line :
City : WEST SENECA
State : NY
Zip : 14224-2013
Country : US
Telephone Number : 716-675-6900
Fax Number : 716-677-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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