Provider Demographics
NPI:1568802809
Name:HERINGER, MICHAEL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:HERINGER
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 1:2525 4TH AVE N STE 1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-256-2121
Mailing Address - Fax:406-294-2120
Practice Address - Street 1:2525 4TH AVE N STE 1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-256-2121
Practice Address - Fax:406-294-2120
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-5987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist