JOHN A HERZOG, D.D.S. (NPI# 1689842601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689842601 |
| Entity Type | Organization |
| Organization Name | JOHN A HERZOG, D.D.S. |
| Practice Address |
78 Mckay St Beverly MA 01915-3031 |
| Practice Telephone | 9789224427 |
| Practice Fax Number | 9789274937 |
| Mailing Telephone | 9789224427 |
| Mailing Fax Number | 9789274937 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | JOHN ANDREW HERZOG (OWNER) |
| Authorized Official Telephone | 9789224427 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15790 | MA | Dental Providers |
| Street Address |
78 MCKAY ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093737 | Thomas John Venti | Chiropractor | 78 Mckay St, Beverly, MA 01915-3031 | 2006-08-22 |
| 1497801468 | John Andrew Herzog | Dentist | 78 Mckay St, Beverly, MA 01915 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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 |
|---|---|---|---|---|
| 1588854665 | Benjamin L Polan | Dentist | 100 Cummings Ctr Ste 104m, Beverly, MA 01915-6105 | 2007-07-26 |
| 1245273184 | Donald Richard Leclair | Dentist | 109 Colon St, Montserrat Professional Building, Beverly, MA 01915-3661 | 2006-06-14 |
| 1144842758 | Idan Yaakov Davidyan | Dentist | 9 Broadway, Beverly, MA 01915-4417 | 2020-05-18 |
| 1942762729 | Lansara Jaruthien | Dentist | 377 Cabot St, Beverly, MA 01915-3390 | 2019-04-02 |
| 1144678012 | Beverly Dental Group LLC | Dentist | 16 Enon St, Beverly, MA 01915-1116 | 2016-06-01 |
| 1699172643 | Kowalski Dental, PC | Dentist | 39 Broadway, Beverly, MA 01915-4417 | 2014-11-19 |
| 1497041552 | A & B Dental PC | Dentist | 277 Cabot St, Beverly, MA 01915-4525 | 2011-06-27 |
| 1427365444 | Bernadete M Campos | Dentist | 127 Dodge St, Beverly, MA 01915-1830 | 2010-09-13 |
| 1952618548 | Paul J Ala | Dentist | 75 Herrick St, Suite 212, Beverly, MA 01915-5903 | 2010-09-03 |
| 1235366121 | Dawna Marie Kowalski | Dentist | 39 Broadway, Beverly, MA 01915-4417 | 2009-06-17 |
| Find all providers in BEVERLY | ||||
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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.