Provider Demographics
NPI:1689745457
Name:HERER, PAUL DANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DANA
Last Name:HERER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:195 SOUTH RAND ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:66047
Mailing Address - Country:US
Mailing Address - Phone:847-726-0300
Mailing Address - Fax:847-726-3799
Practice Address - Street 1:195 S RAND RD
Practice Address - Street 2:SUITE110
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2205
Practice Address - Country:US
Practice Address - Phone:847-726-0300
Practice Address - Fax:847-726-3799
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0190148681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry