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

Dr. Mark A. Herzog, DDS, PA

Individual provider General Practice Dentistry · NPI 1275595290

Dr. Mark A. Herzog, DDS, PA is a General Practice Dentistry in Ellsworth, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

804 E 8th St
Ellsworth, KS 67439-2535
Phone: (785) 472-5420
Fax: (785) 472-8995
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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 6296 (KS)

Record details

NPI number1275595290
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PA
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESJanuary 14, 2013
Mailing address804 E 8th St, Ellsworth, KS 67439-2535

Other providers in Ellsworth