Mark a.Herzog
Dentist · Ellsworth, KS
Practice location
804 E 8TH StEllsworth, KS 67439-2535
- Phone
- (785) 472-5420
- Fax
- (785) 472-8995
NPI record
- NPI
- 1487992004
- Entity type
- Organization (Type 2)
- Enumeration date
- January 17, 2013
- Last updated
- January 17, 2013
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
6269 | KS |
Authorized official
- Name
- Dr. Mark Alan Herzog, D.D.S.
- Title
- President
- Phone
- (785) 472-5420
About Mark a.Herzog
Mark a.Herzog is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 804 E 8TH St, Ellsworth, KS 67439-2535. The NPI number 1487992004 was assigned on January 17, 2013 and the record was last updated on January 17, 2013.
Mark a.Herzog lists a license in the registry: #6269 (KS) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Mark Alan Herzog, D.D.S., President.
Frequently asked questions
What is the NPI number of Mark a.Herzog?
The NPI number is 1487992004.
What is the phone number of Mark a.Herzog?
The phone number listed for the practice location is (785) 472-5420.
Where is Mark a.Herzog located?
804 E 8TH St, Ellsworth, KS 67439-2535.
What is the taxonomy code for Mark a.Herzog?
The primary taxonomy code is 122300000X – Dentist.
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.