MEDICARE: DR. ANNE M HERO 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
1	1223G0001X	General Practice Dentistry	9284	CT

General Provider Information

NPI Number	:	1669632352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE M HERO D.M.D.

Provider Business Mailing Address
First Line	:	PO BOX 73
Second Line	:
City	:	GEORGETOWN
State	:	CT
Zip	:	06829-0073
Country	:	US
Telephone Number	:	203-544-9507
Fax Number	:	203-544-8373

Provider Business Practice Location Address
First Line	:	73 REDDING RD
Second Line	:
City	:	REDDING
State	:	CT
Zip	:	06896-3210
Country	:	US
Telephone Number	:	203-544-9507
Fax Number	:	203-544-8373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	06/16/2008

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