Provider Demographics
NPI:1801132949
Name:KRISTIN W HERRING, DDS, PLLC
Entity type:Organization
Organization Name:KRISTIN W HERRING, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:WEST
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-381-8252
Mailing Address - Street 1:1930 WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5592
Mailing Address - Country:US
Mailing Address - Phone:828-381-8252
Mailing Address - Fax:
Practice Address - Street 1:1930 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5592
Practice Address - Country:US
Practice Address - Phone:828-381-8252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8041261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1487661641OtherPERSONAL NPI
NC8041OtherLICENSE NUMBER