DR. MATTHEW LAWRENCE HERZBERG (NPI# 1285629188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285629188 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW LAWRENCE HERZBERG |
| Credential | DDS |
| Practice Address |
3283 E Perimeter Rd Bhc Naf Washington Andrews Afb MD 20762-5011 |
| Mailing Address |
5003 Barbour Dr Alexandria VA 22304-7710 |
| Practice Telephone | 2408574177 |
| Mailing Telephone | 7035661406 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5452 | NE | Dental Providers |
| Street Address |
3283 E PERIMETER RD BHC NAF WASHINGTON |
| City | ANDREWS AFB |
| State | MD |
| Zip Code | 20762-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1306467667 | Priscilla Andalia | Student in an Organized Health Care Education/Training Program | 1065 W. Perimeter Road, Jb Andrews, MD 20762 | 2020-04-28 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1083240139 | Shirley Ye | Student in an Organized Health Care Education/Training Program | 1025 Boston Rd, Joint Base Andrews, MD 20762 | 2020-03-20 |
| 1255988853 | Songxuan Zhou Niemtzow | Acupuncturist | Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 | 2019-08-20 |
| 1487010971 | Tracy Ellen Ambos | Social Worker | 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | 2016-01-13 |
| 1154718450 | Ryan Mason Kring | Emergency Medicine | Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 | 2015-04-24 |
| 1518206044 | Jeremy Gallman | Veterinarian | 1781 Arnold Ave., Joint Base Andrews, MD 20762 | 2013-02-04 |
| 1043556418 | Kimberly Mccoy-singh | Physical Therapist | 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 | 2012-12-12 |
| 1417215799 | Alexander Rostam Kheradi | Emergency Medicine | 1050 West Perimeter Road, Joint Base Andrews, MD 20762 | 2012-04-24 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090347 | Jim J Im | Dentist | 79th Ds, Bldg 1601, Andrews Afb, MD 20762 | 2005-11-14 |
| 1093927048 | John C. Pritchett | Dentist | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918862 | Munder Omran Ben-omran | Dentist | 18535 Boysenberry Dr Apt 319, Gaithersburg, MD 20879-3690 | 2020-10-05 |
| 1982210423 | Kevin Wang | Dentist | 1057 W Perimeter Rd, Prince County, MD 20762 | 2020-09-21 |
| 1720692262 | Amanda Amaro | Dentist | 9408 Bruce Dr, Silver Spring, MD 20901-4812 | 2020-09-02 |
| 1790396927 | Kyle Westbrook | Dentist | 614 Eastern Shore Dr Ste D, Salisbury, MD 21804-5940 | 2020-08-12 |
| 1235749417 | Hanin Al-rubai | Dentist | 9936 Shelburne Ter Apt 101, Gaithersburg, MD 20878-5351 | 2020-08-03 |
| 1750999736 | Kyung Min Shin | Dentist | 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 | 2020-07-16 |
| 1679181846 | Eric J Guida | Dentist | 832 Locust Dr, West River, MD 20778-9745 | 2020-07-14 |
| 1649897935 | Cory Kyser | Dentist | 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 | 2020-07-02 |
| 1538786181 | Amstrong Njinguet | Dentist | 823 Booker Dr, Capitol Heights, MD 20743-1833 | 2020-06-30 |
| 1063038339 | Patrick Campbell | Dentist | 8300 Wisconsin Ave Apt 511, Bethesda, MD 20814-3194 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ANDREWS AFB |
| Zip Code | 20762 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.