Provider Demographics
NPI:1417926346
Name:HERSHKOWITZ, ERIC RANDALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:RANDALL
Last Name:HERSHKOWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 WILLOW OAK CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1607
Mailing Address - Country:US
Mailing Address - Phone:661-664-9120
Mailing Address - Fax:
Practice Address - Street 1:1023 N CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-3516
Practice Address - Country:US
Practice Address - Phone:661-399-5539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD287101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice