| Hermanson Orthodontics P.c. | |
|
233 N 13th St Marshalltown IA 50158-5411 | |
| (641) 752-6458 | |
| Not Available |
| Full Name | Hermanson Orthodontics P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 233 N 13th St, Marshalltown, Iowa |
| Authorized Official Name and Position | John Hermanson (ORTHODONTIST) |
| Authorized Official Contact | 6417526458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermanson Orthodontics P.c. 233 N 13th St Marshalltown IA 50158-5411 Ph: (641) 752-6458 | Hermanson Orthodontics P.c. 233 N 13th St Marshalltown IA 50158-5411 Ph: (641) 752-6458 |
| NPI Number | 1215006747 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215006747 | NPI | - | NPPES |
| 0097741 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7942 (Iowa) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5771 (Iowa) | Secondary |
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