| Hettinger Family Dental, P.c. | |
|
204 Highway 12 E Hettinger ND 58639-9687 | |
| (701) 567-4302 | |
| Not Available |
| Full Name | Hettinger Family Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 204 Highway 12 E, Hettinger, North Dakota |
| Authorized Official Name and Position | Brody W Peterson (PRESIDENT/OWNER) |
| Authorized Official Contact | 6056390448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hettinger Family Dental, P.c. Po Box 469 Hettinger ND 58639-0469 Ph: (701) 567-4032 | Hettinger Family Dental, P.c. 204 Highway 12 E Hettinger ND 58639-9687 Ph: (701) 567-4302 |
| NPI Number | 1851001168 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851001168 | NPI | - | NPPES |
| 1588313134 | Other | ND | NATIONAL PROVIDER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |