SearchIllinoisGeneral Practice Dentistry

Joshua Hermanson

NPI 1477906345 · on the registry since 2016 · sole proprietor

Practice

Address
2028 E Riverside Blvd
Suite 210
Loves Park, IL 61111
Phone
(815) 877-4300
Organisation at this address
Jennifer Dungan Od Pllc
Riverside Dental Center
Riverside Dental Center Gps Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois