Robert D. Herron Jr. DDS PA

NPI #1508206301 in Columbus, Kansas

Provider Information

NPI Number: 1508206301
Entity Type: Organization
Organization Name: Robert D. Herron Jr. DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2013
Last Updated: Jun 26, 2013

Practice Location

Address: 806 E MAPLE ST
City: Columbus
State: Kansas
ZIP Code: 66725-1924
Phone: (620) 429-1020

Authorized Official

Name: DR. ROBERT D HERRON, DDS
Title: PRESIDENT
Phone: (620) 429-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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