Jennifer Wilson Hershey, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · O Fallon, MO

NPI

1750453429

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

012986 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-15

Last updated

2007-07-08