Herbst, Heidi A

Herbst, Heidi A is an individual health care provider with primary practice located at 21475 Ridgetop Circle Suite 200 , Sterling VA 20166-8504. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is her primary health care specialty. Herbst, Heidi A can be contacted via phone (703) 444-3710.

Contact Information

Primary practice address
21475 Ridgetop Circle Suite 200 Sterling VA 20166-8504
Fax: (703) 444-8607
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5876 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 5876 Virginia

Profile Details

NPI number 1992756951
LBN Legal business name Herbst, Heidi A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992756951 NPPES
Virginia MEDICAID 0012899

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