Provider Demographics
NPI:1063590487
Name:HERMAN, ROBERT SCHUYLER (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCHUYLER
Last Name:HERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 MONTGOMERY AVENUE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4403
Mailing Address - Country:US
Mailing Address - Phone:301-718-2929
Mailing Address - Fax:301-718-8449
Practice Address - Street 1:4425 MONTGOMERY AVENUE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4403
Practice Address - Country:US
Practice Address - Phone:301-718-2929
Practice Address - Fax:301-718-8449
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice