| John A Herzog, D.d.s. | |
|
78 Mckay St Beverly MA 01915-3031 | |
| (978) 922-4427 | |
| (978) 927-4937 |
| Full Name | John A Herzog, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 78 Mckay St, Beverly, Massachusetts |
| Authorized Official Name and Position | John Andrew Herzog (OWNER) |
| Authorized Official Contact | 9789224427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Herzog, D.d.s. 78 Mckay St Beverly MA 01915-3031 Ph: (978) 922-4427 | John A Herzog, D.d.s. 78 Mckay St Beverly MA 01915-3031 Ph: (978) 922-4427 |
| NPI Number | 1689842601 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689842601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15790 (Massachusetts) | Primary |
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