Mark A.herzog is a Dental Clinic in Ellsworth, Kansas. It is located at 804 E 8th St, Ellsworth, KS and its contact number is 785-472-5420. The authorized person for Mark A.herzog is Dr. Mark Alan Herzog
who is President of the clinic and their contact number is 785-472-5420. The primary license number for Mark A.herzog is 6269 (Dentist) in Kansas. Mark A.herzog Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mark A.herzog Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mark A.herzog
Specialization:
Dentistry
Clinic Address:
804 E 8th St, Ellsworth, Kansas, 67439-2535
Phone:
785-472-5420
Fax:
785-472-8995
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mark Alan Herzog
Position:
President
Contact Number:
785-472-5420
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mark A.herzog clinic are as mentioned below.
NPI Number:
1487992004
NPI Enumeration Date:
17 Jan, 2013
NPI Last Update On:
17 Jan, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A.herzog are as mentioned below.
Specialization
License Number
State
Status
Dentist
6269
Kansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100223300B
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark A.herzog 804 E 8th St, Ellsworth, Kansas
Zip:
67439-2535
Phone Number:
785-472-5420
Fax Number:
785-472-8995
Patients can reach Mark A.herzog at 804 E 8th St, Ellsworth, Kansas or can call to book an appointment on 785-472-5420. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.