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NPI 1760781595ActiveOrganization· Dentist, General Practice· Ft Worth, TX

Dentist, General Practice in Ft Worth, Texas, registered in NPPES in March 2011. The authorized official on file is Clinton F. Herzog, DDS, Ceo.

Overview

NPI1760781595
StatusActive
Entity typeOrganization
NPI issuedMar 18, 2011
Last updated in NPPESMar 18, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X20239TX
Dentist122300000X20239TX
Dentist122300000X25784TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Ft Worth

All 41 general dentists in Ft Worth · All general dentists in Texas