MEDICARE: HERZOG UPTOWN PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1699005561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERZOG UPTOWN PLLC

Provider Business Mailing Address
First Line	:	2305 CEDAR SPRINGS RD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75201-1854
Country	:	US
Telephone Number	:	214-969-1000
Fax Number	:	214-969-1001

Provider Business Practice Location Address
First Line	:	2305 CEDAR SPRINGS RD
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75201-1854
Country	:	US
Telephone Number	:	214-969-1000
Fax Number	:	214-969-1001

Authorized Official
Title or Position	:	VICE PRESIDENT OF OPERATIONS
Name	:	MRS. NICOLE STICKANE
Credential	:
Telephone Number	:	214-969-1000

Provider Enumeration Date	:	12/28/2009
Last Update Date	:	05/13/2015

Similar Medicare Providers

1003382490 — MIREYA E IMITOLA ORTA
Practice Location Address:

2305 CEDAR SPRINGS RD
DALLAS, TX
75201-1854

Practice Phone: 214-969-1000
Practice Fax:

1407794159 — PLAZA APOTHECARY PLLC
Practice Location Address:

600 N PEARL ST STE H201
DALLAS, TX
75201-7407

Practice Phone: 214-855-0606
Practice Fax: 214-855-0609

1245791854 — DR. SHREYA GOYAL MD
Practice Location Address:

325 N SAINT PAUL ST STE 3100
DALLAS, TX
75201-3923

Practice Phone: 617-505-1520
Practice Fax: 617-928-8401

1356792568 — RUTH AKANI
Practice Location Address:

325 N SAINT PAUL ST STE 3100
DALLAS, TX
75201-3923

Practice Phone: 888-731-8994
Practice Fax:

1558948869 — DR. POOJA GOEL MD
Practice Location Address:

2225 N HARWOOD ST APT 1120
DALLAS, TX
75201-2393

Practice Phone: 601-988-2404
Practice Fax:

1932619848 — SYDNEY NICOLE STYRON FNP-C
Practice Location Address:

325 N SAINT PAUL ST STE 3100
DALLAS, TX
75201-3923

Practice Phone: 888-731-8994
Practice Fax:

Directions to “HERZOG UPTOWN PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.