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NPI Code Detail

MEDICARE: MARK A HERMAN D.M.D.

MEDICARE:   MARK A HERMAN  D.M.D.
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
11223G0001XGeneral Practice DentistryDN14310FL

General Provider Information

NPI Number : 1356554711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A HERMAN D.M.D.
Provider Business Mailing Address
First Line : 5329 W ATLANTIC AVE
Second Line : SUITE 201
City : DELRAY BEACH
State : FL
Zip : 33484-8176
Country : US
Telephone Number : 561-498-0015
Fax Number : 561-496-6336
Provider Business Practice Location Address
First Line : 5329 W ATLANTIC AVE
Second Line : SUITE 201
City : DELRAY BEACH
State : FL
Zip : 33484-8176
Country : US
Telephone Number : 561-498-0015
Fax Number : 561-496-6336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ MARK A HERMAN D.M.D.” Practice Location

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