Audra Zackay Herman, DDS

General Practice Dentistry · St. Clair Shores, MI

Individual Active NPI

NPI number 1619094224

Practice location

25520 Little Mack Ave.
St. Clair Shores, MI 48081
Phone
(586) 771-5888
Fax
(586) 777-7319

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NPI record

NPI
1619094224
Entity type
Individual (Type 1)
Enumeration date
March 26, 2007
Last updated
June 12, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901019371 MI

About Dr. Herman

Audra Zackay Herman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 25520 Little Mack Ave., St. Clair Shores, MI 48081. The NPI number 1619094224 was assigned on March 26, 2007 and the record was last updated on June 12, 2015.

Dr. Herman lists a license in the registry: #2901019371 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Audra Zackay Herman, DDS?

The NPI number is 1619094224.

What is the phone number of Dr. Herman?

The phone number listed for the practice location is (586) 771-5888.

Where is Dr. Herman located?

25520 Little Mack Ave., St. Clair Shores, MI 48081.

What is the taxonomy code for Dr. Herman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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