DR. CURTIS RICHARD HERZOG (NPI# 1568085264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568085264 |
| Entity Type | Individual |
| Full Name | DR. CURTIS RICHARD HERZOG |
| Credential | DDS |
| Practice Address |
1011 N University Ave Department of Oral and Maxillofacial Surgery Ann Arbor MI 48109 |
| Practice Telephone | 2489743722 |
| Mailing Telephone | 2489743722 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901600466 | MI | Dental Providers |
| Street Address |
1011 N UNIVERSITY AVE DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388514 | Thomas S Marshall | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2005-12-26 |
| 1225655921 | Jae Young Han | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-06-29 |
| 1205459039 | David Jarvie | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-27 |
| 1295357895 | Richard Klarck | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-18 |
| 1841811817 | Alexis Daniels | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-05-01 |
| 1114548112 | Carissa Choong | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-30 |
| 1285255281 | Ramandeep Kaur | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-30 |
| 1861012296 | Jade Cook | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-04-27 |
| 1396379335 | Heather Marie Baughman | Student in an Organized Health Care Education/Training Program | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-02-28 |
| 1538790662 | John Krezel | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2020-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| 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 |
|---|---|---|---|---|
| 1023635232 | Mamatha Valishetty | Dentist | 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 | 2020-07-03 |
| 1144846171 | Leah Baldinger | Dentist | 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 | 2020-06-25 |
| 1700446879 | Nathalia Paiva De Andrade | Dentist | 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 | 2019-06-19 |
| 1801456173 | Suzette Damarlie Laing | Dentist | 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 | 2019-06-18 |
| 1851959241 | Catherine Haviland | Dentist | 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 | 2019-05-31 |
| 1801372008 | Joseph Fazzio | Dentist | 465 Harbor Way, Ann Arbor, MI 48103-6666 | 2018-07-11 |
| 1255824371 | Sergio Fabian Calleja Blanco | Dentist | 917 S Forest Ave, Ann Arbor, MI 48104-3542 | 2018-06-13 |
| 1669965257 | Tarek Nabil Metwally | Dentist | Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 | 2018-06-08 |
| 1326551011 | Ali Bushahri | Dentist | 1011 North University, Ann Arbor, MI 48109-1078 | 2017-11-16 |
| 1689193278 | Ennis Malik Bedair | Dentist | 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 | 2017-09-14 |
| Find all providers in ANN ARBOR | ||||
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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.