Mark A. Herzog in Ellsworth - General Practice

Mark A. Herzog - NPI 1275595290

Mark A. Herzog is a General Practice in Ellsworth, Kansas. Mark A. Herzog practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark A. Herzog is 1275595290. The last update date is 2013-01-14.

Mark A. Herzog's current location address is 804 E 8th St, Ellsworth, Kansas. You can contact this provider via phone number 7854725420 and fax number 7854728995. The mailing address for Mark A. Herzog is 804 E 8th St, Ellsworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark A. Herzog
Address 804 E 8th St, Ellsworth, Kansas
Phone Number 7854725420
Fax Number 7854728995
Sole Proprietor N
Credentials D.D.S, P.A

NPI Number Detail

NPI Number 1275595290
Provider Enumeration Date 2006-04-05
Last Updated Date 2013-01-14

Provider Mailing Address Detail

Address 804 E 8th St
City Ellsworth
State Kansas (KS)
Post Code 674392535
Phone Number 7854725420
Fax Number 7854728995

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6296
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100223300B KS --

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FAQs about Mark A. Herzog

What is the Mark A. Herzog's 1275595290?

The Mark A. Herzog's NPI (National Provider Identifier) Number is 1275595290. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark A. Herzog is geographically located?

The Mark A. Herzog is physically situated at the following location: 804 E 8Th St, Ellsworth, KS, 674392535.

What is Mark A. Herzog's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark A. Herzog's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did the Mark A. Herzog receive its 1275595290?

The Mark A. Herzog was issued its 1275595290 on 2006-04-05, which is the date when the organization was assigned this unique identifier.

When was the information regarding Mark A. Herzog most recently updated?

The details pertaining to the Mark A. Herzog, including its address, specialty, and other relevant information, were last refreshed on 2013-01-14.

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