DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AUDRA ZACKAY HERMAN, DDS

Active Sole Proprietor

DR. AUDRA ZACKAY HERMAN, DDS is a General Dentistry healthcare provider located in ST. CLAIR SHORES, Michigan. NPI 1619094224 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ST. CLAIR SHORES, MI

Registration Details

NPI Number
1619094224
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2007 (19.388898285374 yrs)
Last Updated
Jun 12, 2015
License
2901019371 (MI)
Sole Proprietor
Yes

Practice Information

Address
25520 LITTLE MACK AVE.
ST. CLAIR SHORES, MI, 48081
Browse MI providers · Browse ZIP 48081
Phone
5867715888
Fax
5867777319
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in ST. CLAIR SHORES, MI

Name Credential NPI
MR. LOUAY G MANSOUR D.D.S. 1609992981
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.