1588667463 NPI number — DRS. HERMAN AND MACK P.C.

Table of content: (NPI 1588667463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588667463 NPI number — DRS. HERMAN AND MACK P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS. HERMAN AND MACK P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALL YOUR SMILE NEEDS DENTAL CENTERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588667463
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1003 7TH ST NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DEVILS LAKE
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58301-2719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-662-8191
Provider Business Mailing Address Fax Number:
701-662-5757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1003 7TH ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEVILS LAKE
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58301-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-662-8191
Provider Business Practice Location Address Fax Number:
701-662-5757
Provider Enumeration Date:
05/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HERMAN
Authorized Official First Name:
ROLLIN
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRES
Authorized Official Telephone Number:
701-662-8191

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  1654 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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