Provider Demographics
NPI:1528124229
Name:PLEIMAN, HERBERT P JR (DDS)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:P
Last Name:PLEIMAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 N COURTENAY PKWY
Mailing Address - Street 2:BREVARD COUNTY HEALTH DEPARTMENT
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953
Mailing Address - Country:US
Mailing Address - Phone:321-639-5787
Mailing Address - Fax:321-639-5762
Practice Address - Street 1:1744 CEDAR STREET
Practice Address - Street 2:BREVARD COUNTY HEALTH DEPARTMENT
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955
Practice Address - Country:US
Practice Address - Phone:321-634-6349
Practice Address - Fax:321-690-3276
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN10598122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist