MEDICARE: DR. CHRISTOPHER MICHAEL HERMAN DDS

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	54835	CA

General Provider Information

NPI Number	:	1730222597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL HERMAN DDS

Provider Business Mailing Address
First Line	:	3927 WARING RD STE H
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4458
Country	:	US
Telephone Number	:	760-726-4904
Fax Number	:

Provider Business Practice Location Address
First Line	:	3927 WARING RD STE H
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4458
Country	:	US
Telephone Number	:	760-726-4904
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	06/10/2009

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