Kelly Amanda Herzog is a Usaf Academy, Colorado based Dentist who is specialized in Dentist. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kelly Amanda Herzog is 6001492-15 for Dentistry in Wisconsin. Her current practice location is 2355 Faculty Dr # B, Usaf Academy. Patients can reach her at 718-333-5025.
Kelly Amanda Herzog is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kelly Amanda Herzog speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kelly Amanda Herzog
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2355 Faculty Dr # B, Usaf Academy, Colorado, 80840-1805
Phone:
718-333-5025
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 are as mentioned below.
NPI Number:
1205687662
NPI Enumeration Date:
01 Apr, 2024
NPI Last Update On:
24 May, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Amanda Herzog are as mentioned below.
License Number
Specialization
State
Status
6001492-15
Dentistry
Wisconsin
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1801 W Wisconsin Ave, Milwaukee, Wisconsin
Zip:
53233-2186
Patients can reach Kelly Amanda Herzog at 2355 Faculty Dr # B, Usaf Academy, Colorado or can call to book an appointment on 718-333-5025. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.