Paul Edward Hetrick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020567L Issued in PA

Practice address

211 Penn St
Hollidaysburg, PA 16648

Phone

(814) 695-1581

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063516177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PENN ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-695-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PENN ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-695-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020567L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elise Green
• Gregory C. Sweeney, M.D. P.C.
• Heather Kay Grimminger, PTA
• Healing Space LLC
• Colleen Helton
• Joseph Francis Hibernik, BA
• Hillcrest Precision Services
• Karen L Himes, PTA
• Rebecca Kathleen Himes, CHWC, NBC-HWC
• Kathryn Lynn Hockenberry, LSW

• General Practice Dentistry in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.