Brecksville Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30.021804 Issued in OH

Legal business name

BRECKSVILLE KIDS DENTISTRY

Doing business as

Jennifer Bryk Hechko, DDS, MS, LLC

Practice address

8801 Brecksville Rd
Suite 5
Brecksville, OH 44141-1947

Phone

(440) 838-5445

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Bryk Hechko, DDS, MS

Title

President

Phone

(440) 665-8825

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Bryk Hechko, DDS, MS, LLC Doing business as

Locations

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1700319423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BOSTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413312",
            "telephone_number": "440-665-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 BRECKSVILLE RD",
            "address_2": "SUITE 5",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411947",
            "telephone_number": "440-838-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKSVILLE KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "HECHKO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BRYK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-665-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.021804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Bryk Hechko, DDS, MS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.