DR. JOSEPH A. HERZOG (NPI# 1689712184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712184 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH A. HERZOG |
| Credential | D.D.S. |
| Practice Address |
2425 Cornell Ave Butte MT 59701-3848 |
| Mailing Address |
2425 Cornell Butte MT 59701-6302 |
| Practice Telephone | 4064947919 |
| Mailing Telephone | 4064947919 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 988 | MT | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
988 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 114088 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265616338 | Joseph Bernard Herzog | Dentist | 5th & Western, California Rehabilitation Center, Norco, CA 92860 | 2007-12-24 |
| 1164557260 | Joseph Richard Herzog | Social Worker | 203 Mary Lou Dr, Hinesville, GA 31313-3413 | 2007-02-22 |
| 1508859901 | Joseph Herzog | Obstetrics & Gynecology | 17280 W North Ave, Suite 200, Brookfield, WI 53045-4366 | 2005-08-31 |
| Street Address |
2425 CORNELL AVE |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| 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 |
|---|---|---|---|---|
| 1821403130 | Tyson John Gundersen | Dentist | 245 E Park St, Butte, MT 59701-1829 | 2014-06-25 |
| 1447488846 | Erik H Johnson | Dentist | 2823 Lexington Ave, Butte, MT 59701-3286 | 2009-06-24 |
| 1578617668 | Richard A Roche | Dentist | 800 W Diamond St, Butte, MT 59701 | 2007-01-23 |
| 1255493383 | Daniel Phillip Harrington | Dentist | 1550 Harrison Ave, Butte, MT 59701-4853 | 2006-12-14 |
| 1578915054 | Aaron M. Shearman, Dds, Pllc | Dentist | 830 Sampson St, Butte, MT 59701-3296 | 2016-07-07 |
| 1447634407 | Mario Bartoletti | Dentist | 445 Centennial Ave, Butte, MT 59701-2870 | 2015-07-18 |
| 1790184828 | Julie Strong | Dentist | 1454 Dewey Blvd, Butte, MT 59701-3418 | 2014-08-14 |
| 1558794404 | Maria Bartoletti | Dentist | 445 Centennial Ave, Butte, MT 59701-2870 | 2013-08-14 |
| 1619223518 | Aaron Michael Shearman | Dentist | 3310 Monroe Ave, Butte, MT 59701-3820 | 2012-07-28 |
| 1689982852 | Ryan Thomas Dee | Dentist | 445 Centennial Ave, Butte, MT 59701-2870 | 2010-09-21 |
| Find all providers in BUTTE | ||||
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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.