Dr. Christopher W Herzog
Pediatric Dentist
605 E Holland Ave Ste 222
Spokane
, Washington 99218-1246
Dr. Christopher W Herzog
Pediatric Dentist
605 E Holland Ave Ste 222
Spokane
, Washington 99218-1246
(509) 755-0444
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Christopher W Herzog
- 1502 E Vanetta Ln
- Spokane, WA
- Zip : 99217-5515
- Fax : (509) 755-0444
- Phone : (509) 290-6031
Second Address
- Dr. Christopher W Herzog
- 605 E Holland Ave Ste 222
- Spokane, WA
- Zip : 99218-1246
- Fax : (509) 755-0444
- Phone : (509) 755-5437
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FAQs
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Is Dr. Christopher W Herzog a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 10414 | WA |
National Provider Identifier
| NPI | 1003986381 |
|---|---|
| Provider Name | Dr. Christopher W Herzog |
| First Address | Spokane, WA 99217-5515 |
| Second Address | Spokane, WA 99218-1246 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5038195 | (05) | WA |
| 5038211 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.