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Deactivated NPI 1578685848 Deactivated / Inactive NPI Male Practitioner

Dr. Jerrold Herman , DDS

Dentist - General Practice • Lathrup Village, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerrold Herman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 05, 2007
NPI Deactivation Date June 21, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jerrold Herman, DDS was a registered Dentist - General Practice practicing in Lathrup Village, MI. Throughout an active medical career spanning 14 years, Dr. Herman provided care at the practice location at 17550 W 11 MILE RD until profile deactivation on 2021-06-21.

Practice Location & Contact Primary Location

Practice Address

17550 W 11 Mile Rd
Suite B

Lathrup Village, MI 480764728

Telephone 2485520700
Fax 2485520992
Associated Practice Facility / Clinic
🏢 Integrated Home Care, Inc. Facility NPI 1811039670

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lathrup Village, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Lathrup Village, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 11447

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Susan Rizk , DMD MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1033340070

DMDMS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 480764728 (Tel: 2485520700)

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Updated Business Mailing Address July 08, 2007

Registered at 17550 W 11 MILE RD, SUITE B, LATHRUP VILLAGE, MI 480764728 (Tel: 2485520700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERROLD HERMAN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11447 in MI)

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Initial NPI Registration & Enumeration April 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578685848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2007
Last Update: July 08, 2007
Deactivation Date: June 21, 2021

Mailing Address

17550 W 11 Mile Rd, Suite B

Lathrup Village, MI 480764728

Phone: 2485520700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.