Herford, Alan

Herford, Alan is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Herford, Alan can be contacted via phone (909) 580-6210.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 41732 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X A72043 California

Profile Details

NPI number 1982755419
LBN Legal business name Herford, Alan
Credentials MD, DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 17 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 1982755419 NPPES
California MEDICAID 00A724030
California MEDICAID GR0079700

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