MEDICARE: DR. SARAH MARIE 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	27821	TX

General Provider Information

NPI Number	:	1952540809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH MARIE HERMAN DDS

Provider Business Mailing Address
First Line	:	9191 GARLAND RD
Second Line	:	#921
City	:	DALLAS
State	:	TX
Zip	:	75218-3991
Country	:	US
Telephone Number	:	408-806-6218
Fax Number	:

Provider Business Practice Location Address
First Line	:	4235 W NORTHWEST HWY
Second Line	:	SUITE 600
City	:	DALLAS
State	:	TX
Zip	:	75220-5047
Country	:	US
Telephone Number	:	214-351-0070
Fax Number	:

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

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	07/03/2013

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