Provider Demographics
NPI:1316078280
Name:HERSHEY & HEYMANN ORTHODONTICS
Entity type:Organization
Organization Name:HERSHEY & HEYMANN ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-493-7554
Mailing Address - Street 1:3206 OLD CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3688
Mailing Address - Country:US
Mailing Address - Phone:919-493-7554
Mailing Address - Fax:919-493-5973
Practice Address - Street 1:3206 OLD CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3688
Practice Address - Country:US
Practice Address - Phone:919-493-7554
Practice Address - Fax:919-493-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41051223X0400X
NC79881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty