Provider Demographics
NPI:1942461603
Name:DRS. BEHRINGER, HERMAN AND ECKHARDT, INC.
Entity Type:Organization
Organization Name:DRS. BEHRINGER, HERMAN AND ECKHARDT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-636-5918
Mailing Address - Street 1:201 VAN GUNDY DR
Mailing Address - Street 2:BUILDING C
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506-1179
Mailing Address - Country:US
Mailing Address - Phone:419-636-5918
Mailing Address - Fax:419-636-0752
Practice Address - Street 1:201 VAN GUNDY DR
Practice Address - Street 2:BUILDING C
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-1179
Practice Address - Country:US
Practice Address - Phone:419-636-5918
Practice Address - Fax:419-636-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH168821223X0400X
OH210181223X0400X
OH184811223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty