Provider Demographics
NPI:1770657108
Name:HERRING, DEE TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEE
Middle Name:TODD
Last Name:HERRING
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 1:5350 HIGHLAND MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528
Mailing Address - Country:US
Mailing Address - Phone:303-772-7622
Mailing Address - Fax:303-485-2719
Practice Address - Street 1:5350 HIGHLAND MEADOWS CT
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-8995
Practice Address - Country:US
Practice Address - Phone:303-772-7622
Practice Address - Fax:303-485-2719
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO79631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice