Mark A. Herzog, D.D.S, P.A.
General Practice Dentistry · Ellsworth, KS
Practice location
804 E 8TH StEllsworth, KS 67439-2535
- Phone
- (785) 472-5420
- Fax
- (785) 472-8995
NPI record
- NPI
- 1275595290
- Entity type
- Individual (Type 1)
- Enumeration date
- April 5, 2006
- Last updated
- January 14, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
6296 | KS |
About Dr. Herzog
Mark A. Herzog, D.D.S, P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 804 E 8TH St, Ellsworth, KS 67439-2535. The NPI number 1275595290 was assigned on April 5, 2006 and the record was last updated on January 14, 2013.
Dr. Herzog lists a license in the registry: #6296 (KS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark A. Herzog, D.D.S, P.A.?
The NPI number is 1275595290.
What is the phone number of Dr. Herzog?
The phone number listed for the practice location is (785) 472-5420.
Where is Dr. Herzog located?
804 E 8TH St, Ellsworth, KS 67439-2535.
What is the taxonomy code for Dr. Herzog?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Ellsworth
- Cental Kansas Dentistry, PA202 N Douglas Ave
- Kurt Allen Williams, DDS202 N Douglas Ave