Hettinger & Associates DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HETTINGER & ASSOCIATES DMD PA

Doing business as

Creative Dental Arts

Practice address

1530 Citrus Medical CT
Suite 102
Ocoee, FL 34761-4548

Phone

(407) 290-0290

Fax

(407) 447-4975

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul F Hettinger, DMDNPI 1235562414

Title

DMD

Phone

(407) 290-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creative Dental Arts Doing business as

Practitioners 1

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

• Paul Frederick Hettinger, DMD

  • Dentist
  • Ocoee, FL
  • NPI 1235562414
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1851471197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CITRUS MEDICAL CT",
            "address_2": "SUITE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614548",
            "telephone_number": "407-290-0290",
            "fax_number": "407-447-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CITRUS MEDICAL CT",
            "address_2": "SUITE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614548",
            "telephone_number": "407-290-0290",
            "fax_number": "407-447-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETTINGER & ASSOCIATES DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "HETTINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "407-290-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073558200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank P Hernandez, DMD
• Jorge L. Hernandez, M.D.
• Mary Isandra Herrero Herrera
• Maureen Faye Herring, RPH
• Willie L Herring, PMHNP
• Paul Frederick Hettinger, DMD
• Ruth Hey, APRN
• Christian Emmanuel Heyliger
• Tasha Michelle Hicks, ARNP
• Benedict Hilado

• General Practice Dentistry in Ocoee, FL
• Providers in Ocoee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.