Jason Hersh

Periodontics · Hialeah, FL

Individual Active NPI

NPI number 1366566192

Practice location

7150 W 20TH Ave Ste 102
Hialeah, FL 33016-5509
Phone
(305) 556-5600

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NPI record

NPI
1366566192
Entity type
Individual (Type 1)
Enumeration date
March 19, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DN 15174 FL

Mailing address

7704 Great Oak Dr
Lake Worth, FL 33467-7109

About Jason Hersh

Jason Hersh is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 7150 W 20TH Ave Ste 102, Hialeah, FL 33016-5509. The NPI number 1366566192 was assigned on March 19, 2007 and the record was last updated on July 8, 2007.

Jason Hersh lists a license in the registry: #DN 15174 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Hersh?

The NPI number is 1366566192.

What is the phone number of Jason Hersh?

The phone number listed for the practice location is (305) 556-5600.

Where is Jason Hersh located?

7150 W 20TH Ave Ste 102, Hialeah, FL 33016-5509.

What is the taxonomy code for Jason Hersh?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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