Provider Demographics
NPI:1720279862
Name:HEROLD, WILLIAM K (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:HEROLD
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 1:9023 FOREST HILL AVE
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3054
Mailing Address - Country:US
Mailing Address - Phone:804-327-9922
Mailing Address - Fax:804-327-9929
Practice Address - Street 1:9023 FOREST HILL AVE
Practice Address - Street 2:SUITE 1-E
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-3054
Practice Address - Country:US
Practice Address - Phone:804-327-9922
Practice Address - Fax:804-327-9929
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401-61141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice