Dr. Niles Walter Herrod is a Provo, Utah based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Niles Walter Herrod is
1321679924 for Oral and Maxillofacial Surgery in Utah. His current practice location is
777 N 500 W, Suite 102, Provo. Patients can reach him at
801-375-4707.
Dr. Niles Walter Herrod deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Niles Walter Herrod speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Niles Walter Herrod |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 777 N 500 W, Suite 102, Provo,
Utah, 84601-1541 |
| Phone: | 801-375-4707 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1578646642 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Niles Walter Herrod are as mentioned below.
| License Number | Specialization | State | Status | |
| 1321679924 | Oral and Maxillofacial Surgery | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Niles Walter Herrod such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 20859 | Other | | IHC |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 871 Osmond Ln,
Provo, Utah |
| Zip: | 84604-5264 |
| Phone Number: | 801-225-7229 |
Patients can reach Dr. Niles Walter Herrod at
777 N 500 W, Suite 102, Provo, Utah or can
call to book an appointment on 801-375-4707.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.