NPI 1184762338

Kevin B Hericks, DDSPC

Practitioner Dentist Watertown, SD

Practice location

Address: 415 16th Ave Cir NE, Watertown, SD 57201
Phone: (605) 886-2222
Fax: (605) 884-0074
Mailing address: PO Box 427 415 16th Ave Cir NE, Watertown, SD 57201

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence M880 (SD)

Other Dentist providers in South Dakota →

Registry record

NPI: 1184762338
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.