Search › Wisconsin › 122300000X
Jacob Heringer, DMD
NPI 1639482508 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1701 W Knapp St Ste C
Rice Lake, WI 54868 - Phone
- (715) 434-8364
- Fax
- (715) 434-8367
- Organisation at this address
- Pathway Dental Of Rice Lake
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-22
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 Wisconsin