SENECA FAMILY DENTAL BRENDA HERRMAN DDS LLC NPI 1467817189

NPI Information

NPI: 1467817189
Provider Name: SENECA FAMILY DENTAL BRENDA HERRMAN, DDS, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 26D2052913

Address:
1406 CHESTNUT ST
SENECA, MO
ZIP 64865
Phone: (417) 776-2291
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SENECA FAMILY DENTAL BRENDA HERRMAN, DDS, LLC is a dental clinic center in Seneca, MO. SENECA FAMILY DENTAL BRENDA HERRMAN, DDS, LLC NPI is 1467817189. The provider is registered as an organization entity type.

The provider's business location address is:

1406 CHESTNUT ST
SENECA, MO
ZIP 64865-261
Phone: (417) 776-2291
Fax: (888) 513-4125

The provider's authorized official is Brenda Herrman .
The authorized official title is Owner and has the following contact phone number (417) 838-9199.

The CLIA number assigned to this NPI record is 26D2052913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 12/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	015183	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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