Active NPI 1740662246 Individual Practitioner Male Practitioner

Dr. Mark Brady Herzog , DMD

Dentist - General Practice • Issaquah, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Herzog, DMD is a registered healthcare professional specializing in Dentist - General Practice in Issaquah, WA. Practice services are available at 6520 226TH PL SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6520 226th Pl Se
Suite 200

Issaquah, WA 980278969

Telephone 4253921010

Associated Practice Facility / Clinic

🏢 Issaquah Obstetrics And Gynecology Pllc Facility NPI 1073581807

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Issaquah, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

33 Specialists

Practicing in Issaquah, WA (3345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60566577

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Kevin Lee , DDS

Dentist

NPI 1790807980

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2015

Registered at 6520 226TH PL SE, SUITE 200, ISSAQUAH, WA 980278969 (Tel: 4253921010)

📍

Updated Business Mailing Address June 22, 2015

Registered at 6911 RAVENS GATE WAY, YAKIMA, WA 989082189 (Tel: 5099654718)

👤

Provider Name / Credentials Updated June 22, 2015

Recorded as MARK HERZOG, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Dentist (License #DE60566577 in WA)

🟢

Initial NPI Registration & Enumeration June 22, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1740662246

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2015

Last Update: June 22, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6911 Ravens Gate Way

Yakima, WA 989082189

Phone: 5099654718

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.