DR. MARK CARL HERZBERG DDS
NPI 1073731998
Dentist - Periodontics in Minneapolis, MN

Q: What is Mark Herzberg's NPI number?

The NPI number for Mark Herzberg is 1073731998. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Mark Herzberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Herzberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2007

VA MEDICAL CENTER, ONE VETERANS DRIVE, MINNEAPOLIS, MN 55417(612) 467-4716(612) 626-2651 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Carl Herzberg Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK CARL HERZBERG DDS (NPI 1073731998) is an individual periodontics provider in Minneapolis, Minnesota, licensed in Minnesota (8687) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1073731998

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MARK CARL HERZBERGCredential: DDS

Location AddressVA MEDICAL CENTER, ONE VETERANS DRIVEMinneapolis, MN 55417

Mailing Address3927 York Ave SMinneapolis, MN 55410-1164 · (612) 929-7540 · Fax (612) 626-2651

Phone(612) 467-4716

Fax(612) 626-2651

Sole ProprietorYes

Enumeration DateApril 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073731998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 8687

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

VA MEDICAL CENTER, Minneapolis, MN 55417

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY MARIE WOODY HAACK M.A.

Audiologist

VA MEDICAL CENTER, ONE VETERANS DRIVE (126)
MINNEAPOLIS, MN 55417

Hennepin County (612) 467-2375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Herzberg's NPI number?

The NPI number for Mark Herzberg is 1073731998. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Mark Herzberg located?

Mark Herzberg practices at VA Medical Center One Veterans Drive, Minneapolis, MN 55417. The listed phone number is (612) 467-4716.

What is Mark Herzberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mark Herzberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.