Individual provider · Type 1 NPI

Mark A. Herzog, D.D.S, P.A.

General Practice Dentistry · Ellsworth, KS

NPI number 1275595290 Active

Practice location

804 E 8th St
Ellsworth, KS 67439-2535

Fax (785) 472-8995

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6296 (KS)

General Practice Dentistry: 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.

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About NPI 1275595290

Mark A. Herzog, D.D.S, P.A.'s National Provider Identifier is 1275595290, issued on Apr 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ellsworth, KS. The record was last updated on Jan 14, 2013.