Individual provider · Type 1 NPI

Jason Hersh

Periodontics · Hialeah, FL

NPI number 1366566192 Active

Practice location

7150 W 20th Ave Ste 102
Hialeah, FL 33016-5509

Mailing address

7704 Great Oak Dr
Lake Worth, FL 33467-7109

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XDN 15174 (FL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1366566192

Jason Hersh's National Provider Identifier is 1366566192, issued on Mar 19, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Hialeah, FL. The record was last updated on Jul 8, 2007.