Heringer, Weston Willard

Heringer, Weston Willard is an individual health care provider with primary practice located at 2020 Commercial St Se , Salem OR 97302. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Heringer, Weston Willard can be contacted via phone (503) 364-7545.

Contact Information

Primary practice address
2020 Commercial St Se Salem OR 97302
Fax: (503) 540-7911
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4631 Oregon

Profile Details

NPI number 1598821944
LBN Legal business name Heringer, Weston Willard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 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 1598821944 NPPES
Oregon MEDICAID 087163

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