Provider Demographics
NPI:1104847292
Name:STRATING, HERMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:
Last Name:STRATING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ENON ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1116
Mailing Address - Country:US
Mailing Address - Phone:978-922-6726
Mailing Address - Fax:978-922-6727
Practice Address - Street 1:16 ENON ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1116
Practice Address - Country:US
Practice Address - Phone:978-922-6726
Practice Address - Fax:978-922-6727
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA175591223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics