Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Geoffrey Paul Herzog, DMD

Individual provider General Practice Dentistry · NPI 1245513688

Dr. Geoffrey Paul Herzog, DMD is a General Practice Dentistry in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6657 N Glenwood St
Boise, ID 83714-1925
Phone: (208) 375-0572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D-4570 (ID)

Record details

NPI number1245513688
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 22, 2011
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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