CRAIG MICHAEL HERRMANN (NPI# 1679773303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679773303 |
| Entity Type | Individual |
| Full Name | CRAIG MICHAEL HERRMANN |
| Credential | D.D.S. |
| Practice Address |
102 W Monroe St Bangor MI 49013-1333 |
| Practice Telephone | 2694277106 |
| Mailing Telephone | 2694277106 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
014922 | MI | Dental Providers |
| Street Address |
102 W MONROE ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1396175741 | Jeremy Daniel Olen | Dentist | 323 Blue Valley Dr, Bangor, PA 18013-1526 | 2013-11-22 |
| 1437599933 | Rachel Ann Lukas | Dentist | 62 Corporate Drive, Bangor, ME 04401 | 2013-06-28 |
| 1417247362 | Vinh Hien Dao | Dentist | 728 Stillwater Ave, Bangor, ME 04401-3615 | 2011-04-12 |
| 1902001225 | Gary Warren Fessler | Dentist | 16 Grove Street, Bangor, ME 04401 | 2007-06-18 |
| 1659574051 | Wayne Wilson Wibby | Dentist | 20 Bellevue Ave, Bangor, ME 04401-5618 | 2007-06-06 |
| 1669691697 | Michael Leonard Pacifico | Dentist | 48 N 3rd St, Bangor, PA 18013-1908 | 2007-04-25 |
| 1063563948 | Mark Edward Eggleton | Dentist | 715 Hammond St, Bangor, ME 04401-4515 | 2007-01-16 |
| 1851487169 | Randy Joseph Heard | Dentist | 226 Broadway, Bangor, PA 18013-2528 | 2006-10-05 |
| 1881791911 | Robert L Brookings | Dentist | 39 Grove St, Bangor, ME 04401-5309 | 2006-09-20 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.