Individual
DR. MARK A. HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, P.A.
Contact information
Practice address
804 E 8TH ST, ELLSWORTH, KS 67439-2535
(785) 472-5420
(785) 472-8995
Mailing address
804 E 8TH ST, ELLSWORTH, KS 67439-2535
(785) 472-5420
(785) 472-8995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223300B
—
KS
Enumeration date
04/05/2006
Last updated
01/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us