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Dr. Mark A. Herzog, DDS,PA
General Practice Dentistry in Ellsworth, Kansas
NPI 1275595290

Mark A. Herzog is a General Practice Dentistry based in Ellsworth, KS and is specialized in General Practice. Mark A. Herzog practices in Ellsworth, KS and has the professional credentials of DDS,PA. The NPI Number for Mark A. Herzog is 1275595290 and holds a License No. 6296 (Kansas).

The current practice location address for Mark A. Herzog is 804 E 8Th St, Ellsworth, KS and can be reached out via phone at 785-472-5420 and via fax at 785-472-8995.

Location: 804 E 8Th St, Ellsworth, KS, 67439-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275595290
Provider Name
Mark A. Herzog
Credential
DDS,PA
Provider Entity Type
Individual
Gender
Male
Address
804 E 8Th St, Ellsworth, KS, 67439-2535
Phone Number
785-472-5420
Fax Number
785-472-8995
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100223300B 05 KS
institution
Provider Business Practice Location Address Details
Address
804 E 8Th St
City
Ellsworth
State
Kansas
Zip
67439-2535
Phone Number
785-472-5420
Fax Number
785-472-8995
person
Provider Business Mailing Address Details
Address
804 E 8Th St
City
Ellsworth
State
Kansas
Zip
67439-2535
Phone Number
785-472-5420
Fax Number
785-472-8995
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6296 (Kansas)
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.
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