Hetrick & Holloman DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HETRICK & HOLLOMAN DDS PLLC

Practice address

218 E 10TH Street PLZ
Edmond, OK 73034-4737

Phone

(405) 341-7046

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Beverly Rosenhamer

Title

Office Manager

Phone

(405) 341-7046

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles W Hetrick

  • Dentist
  • Edmond, OK
  • NPI 1487861530
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1083175186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E 10TH STREET PLZ",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344737",
            "telephone_number": "405-341-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E 10TH STREET PLZ",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344737",
            "telephone_number": "405-341-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETRICK & HOLLOMAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSENHAMER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-341-7046"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Alisia Herron
• Megan Dawn Herron
• Mailee Kaytlyn Hesby
• Michelle D Hestand-Olson
• Lily Hester
• Charles W Hetrick
• Haydan Heuermann
• Matthew Hewes
• Breawna Hey
• Hghealth (Vero Pain Care)

• General Practice Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.