Provider Demographics
NPI:1659502961
Name:HERMSTEIN, JENNIFER H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:H
Last Name:HERMSTEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17240 MILL FOREST RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4370
Mailing Address - Country:US
Mailing Address - Phone:281-204-8100
Mailing Address - Fax:281-204-8104
Practice Address - Street 1:17240 MILL FOREST RD
Practice Address - Street 2:SUITE C
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4370
Practice Address - Country:US
Practice Address - Phone:281-204-8100
Practice Address - Fax:281-204-8104
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice