Provider Demographics
NPI:1518058718
Name:ISERMAN, HERBERT ARTHUR JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ARTHUR
Last Name:ISERMAN
Suffix:JR
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 1:10692 S US HIGHWAY 1
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-6408
Mailing Address - Country:US
Mailing Address - Phone:772-335-0660
Mailing Address - Fax:772-335-1300
Practice Address - Street 1:10692 S US HIGHWAY 1
Practice Address - Street 2:SUITE A
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-6408
Practice Address - Country:US
Practice Address - Phone:772-335-0660
Practice Address - Fax:772-335-1300
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL79101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice