Provider Demographics
NPI:1023584489
Name:HERRON AND SMITH ASSOCIATES, PLLC
Entity type:Organization
Organization Name:HERRON AND SMITH ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HERRON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-332-1211
Mailing Address - Street 1:135 PERRIN PLACE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207
Mailing Address - Country:US
Mailing Address - Phone:704-332-1211
Mailing Address - Fax:
Practice Address - Street 1:135 PERRIN PLACE
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:704-332-1211
Practice Address - Fax:704-973-0623
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES A. HERRON, DDS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty