Provider Demographics
NPI:1669632352
Name:HERO, ANNE M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:HERO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06829-0073
Mailing Address - Country:US
Mailing Address - Phone:203-544-9507
Mailing Address - Fax:203-544-8373
Practice Address - Street 1:73 REDDING RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-3210
Practice Address - Country:US
Practice Address - Phone:203-544-9507
Practice Address - Fax:203-544-8373
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT92841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice