Provider Demographics
NPI:1619000585
Name:HERMES, ART J (DDS)
Entity Type:Individual
Prefix:
First Name:ART
Middle Name:J
Last Name:HERMES
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 1:107 14TH AVE E
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2547
Mailing Address - Country:US
Mailing Address - Phone:320-762-1551
Mailing Address - Fax:320-762-1554
Practice Address - Street 1:107 14TH AVE E
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2547
Practice Address - Country:US
Practice Address - Phone:320-762-1551
Practice Address - Fax:320-762-1554
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN090611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice