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Contact Information

KEVIN B HERICKS, DDS PC
415 16TH AVE CIR NE
WATERTOWN, SD57201
 Phone: 605-886-2222
 Fax: 605-884-0074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KEVIN B HERICKS · (Male)

NPI # 1184762338
Status Active
Credentials DDS PC
Entity Individual
Enumeration date 02/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # M880
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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