Stefanie Fetters, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040437 Issued in PA

Practice address

555 E Chocolate Ave
#101
Hershey, PA 17033-1334

Phone

(717) 312-7030

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hershey Dental Care

  • Dental Clinic/Center
  • Hershey, PA
  • NPI 1306115548
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1154704658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E CHOCOLATE AVE",
            "address_2": "#101",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331334",
            "telephone_number": "717-312-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHOCOLATE AVE",
            "address_2": "#101",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331334",
            "telephone_number": "717-312-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERS",
        "first_name": "STEFANIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessi Arlett Fernandez Reyes, MD
• Julio Fernandez-Mendoza
• Daniele Ferrara, MD
• Mackenzie Loren Ferry, MD
• Christopher Michael Fetrow, PA
• Jessica Fey, COTA/L
• Geoffrey S Fidelman, PA-C
• Douglas G Field, MD
• John M Field, MD
• Frank Adam Filicetti II, DO

• General Practice Dentistry in Hershey, PA
• Providers in Hershey, 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 Aug 10, 2015; 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.