IndividualActive
Mark Herzberg, DDS
NPI 1073731998 · Periodontics · Minneapolis, MN
Provider details
- NPI number
- 1073731998
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8687 (MN)
Specialties & taxonomies
Dental Providers
Practice location
Va Medical Center
One Veterans Drive
Minneapolis, MN 55417
Phone: (612) 467-4716
Fax: (612) 626-2651
Approximate (ZIP-level) locationGet directions
Mailing address
3927 York Ave S
Minneapolis, MN 55410-1164
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.