Provider Demographics
NPI:1942410493
Name:SAINT JEAN, HERBERT LUDWIG (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:LUDWIG
Last Name:SAINT JEAN
Suffix:
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2034 RANDOLPH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1225
Mailing Address - Country:US
Mailing Address - Phone:704-334-2538
Mailing Address - Fax:704-334-2539
Practice Address - Street 1:2034 RANDOLPH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207
Practice Address - Country:US
Practice Address - Phone:704-334-2538
Practice Address - Fax:704-334-2539
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC83021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice