Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Robert Herron III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700506821

Gary Robert Herron III is a Student in an Organized Health Care Education/Training Program in Fort Irwin, California. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2022
Specialties on file
2

Practice location Address checks out

171 Inner Loop Rd
Fort Irwin, CA 92310
Phone: (915) 742-2685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Dentac Bldg 128, Fort Bliss, TX 79906 — (505) 235-1192

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEN.00205200 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700506821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2022
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 11, 2023
Mailing address8208 Apennines St Apt A, Fort Irwin, CA 92310-2495

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