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

Individual provider Dentist · NPI 1710862529

Kirsten Rae Hertzog, DMD is a Dentist in Lebanon, Pennsylvania. Graduated from Univ of Pittsburgh School of Dental Medicine in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Univ of Pittsburgh School of Dental Medicine
Licensed in
PA
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

101 S 9th St
Lebanon, PA 17042-5108
Phone: (717) 450-7015
Fax: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS045393 (PA)

Record details

NPI number1710862529
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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