Charles F. Hertzog, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024908L Issued in PA

Legal business name

CHARLES F. HERTZOG, D.M.D., P.C.

Practice address

118 Dickerson Rd
Suite D
North Wales, PA 19454-2538

Phone

(215) 699-9058

Fax

(215) 699-9599

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles F. Hertzog, D.M.D.NPI 1124250543

Title

Owner

Phone

(215) 699-9058

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles F Hertzog, DMD

  • General Practice Dentistry
  • North Wales, PA
  • NPI 1124250543
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427198258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD",
            "address_2": "SUITE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-9058",
            "fax_number": "215-699-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DICKERSON RD",
            "address_2": "SUITE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542538",
            "telephone_number": "215-699-9058",
            "fax_number": "215-699-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. HERTZOG, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERTZOG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-699-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024908L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Andrew Casey
• Carla Monique Castella, COTA/L
• Cha Chiropractic Clinic P.C.
• Yeung Ju Cha, D.C.
• Amanda Chamberlain
• Maria Teresa Checchia
• Haiyan Chen
• Jiayun Chen
• Richard R Chillemi Sr., DDS
• Dale Ann Chiodo

• General Practice Dentistry in North Wales, PA
• Providers in North Wales, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.