Provider Demographics
NPI:1356586168
Name:DR. SIDNEY H. HERR
Entity type:Organization
Organization Name:DR. SIDNEY H. HERR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HERR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS PC
Authorized Official - Phone:636-296-6332
Mailing Address - Street 1:937 JEFFCO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-1410
Mailing Address - Country:US
Mailing Address - Phone:636-296-6332
Mailing Address - Fax:636-287-6335
Practice Address - Street 1:937 JEFFCO BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-1410
Practice Address - Country:US
Practice Address - Phone:636-296-6332
Practice Address - Fax:636-287-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty