Provider Demographics
NPI:1992986764
Name:HERSH, RONALD TERRY JR (DMD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:TERRY
Last Name:HERSH
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:3005 BRODHEAD RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9201
Mailing Address - Country:US
Mailing Address - Phone:610-865-4222
Mailing Address - Fax:610-758-8777
Practice Address - Street 1:3005 BRODHEAD RD
Practice Address - Street 2:SUITE 180
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9201
Practice Address - Country:US
Practice Address - Phone:610-865-4222
Practice Address - Fax:610-758-8777
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS029665L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics