Provider Demographics
NPI:1790371136
Name:SCOTT B HERRING DDS PLLC
Entity type:Organization
Organization Name:SCOTT B HERRING DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-285-3322
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-0032
Mailing Address - Country:US
Mailing Address - Phone:512-285-3322
Mailing Address - Fax:
Practice Address - Street 1:306 N HIGHWAY 95
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-1519
Practice Address - Country:US
Practice Address - Phone:512-285-3322
Practice Address - Fax:512-285-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-20
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental