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Contact Information

DEVERE J HERRON, DDS
7203 SOUTH WESTERN AVENUE
CHICAGO, IL60636
 Phone: 773-476-5335
 Fax: 773-476-4353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DEVERE J HERRON · (Male)

NPI # 1083826507
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019022784
  • IL Other 019022784 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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