Individual
DR. JAMES P. HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2423 CORNELL AVE, BUTTE, MT 59701-3848
(406) 494-7033
(406) 494-8256
Mailing address
2423 CORNELL AVE, BUTTE, MT 59701-3848
(406) 494-7033
(406) 494-8256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1832
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130273
—
MT
01
—
18324
BLUE CROSS INSURANCE
MT
Enumeration date
09/21/2006
Last updated
07/08/2007
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