PAUL EDWARD HETRICK (NPI# 1063516177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063516177 |
| Entity Type | Individual |
| Full Name | PAUL EDWARD HETRICK |
| Credential | DMD |
| Practice Address |
211 Penn St Hollidaysburg PA 16648 |
| Practice Telephone | 8146951581 |
| Mailing Telephone | 8146951581 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS020567L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265735823 | Paul Matthew Hetrick | Pharmacist | 1273 Nw Maynard Rd, Cary, NC 27513-8726 | 2010-12-20 |
| 1346217650 | Paul R Hetrick Jr. | Chiropractor | 500 N Union St, Middletown, PA 17057-1950 | 2006-03-06 |
| Street Address |
211 PENN ST |
| City | HOLLIDAYSBURG |
| State | PA |
| Zip Code | 16648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021846 | Jennifer Walter | Social Worker | 411 N. Montgomery Street, Hollidaysburg, PA 16648 | 2019-03-06 |
| 1699242594 | Pasquale Vincent Longhi | Pharmacist | 510 Blair Street, Hollidaysburg, PA 16648 | 2018-10-29 |
| 1750872941 | Healing Space LLC | Counselor | Healing Space LLC, 206 B Allegheny Street, Hollidaysburg, PA 16648 | 2018-05-23 |
| 1790133098 | Corey Patrick Gildea | Physical Therapist | 225 Allegheny St Ste 3, Hollidaysburg, PA 16648 | 2016-05-26 |
| 1891160818 | Carly Raymond | Speech-Language Pathologist | 3328 Sylvan Heights Drive, Hollidaysburg, PA 16648 | 2015-12-02 |
| 1821499187 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1201 Blair Street, Hollidaysburg, PA 16648 | 2014-09-05 |
| 1669872198 | Central Pennsylvania Digital Learning Foundation | Local Education Agency (LEA) | 721 North Juniata Street, Suite 3, Hollidaysburg, PA 16648 | 2014-09-03 |
| 1912279514 | Kathleen J Lower | Licensed Practical Nurse | 118 Mountain View Dr., Hollidaysburg, PA 16648 | 2012-01-30 |
| 1588932743 | Annette Patterson | Nurse Anesthetist, Certified Registered | 901 Logan Blvd, Hollidaysburg, PA 16648 | 2011-12-02 |
| 1053692400 | Eugene Polmueller | Psychiatry & Neurology | 110 Middle Ridge Road, Hollidaysburg, PA 16648 | 2011-08-30 |
| Find all providers in zip 16648 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508995838 | David James Montrella | Dentist | 25 N Juniata St, Hollidaysburg, PA 16648-1901 | 2007-03-04 |
| 1902842206 | Richard Alan Gonsman | Dentist | 320 Blair St, Hollidaysburg, PA 16648-1804 | 2006-06-22 |
| 1497122501 | Matthew Obrien | Dentist | 712 S Logan Blvd, Hollidaysburg, PA 16648-3032 | 2015-08-24 |
| 1083743306 | Adolph Frank Klingner | Dentist | 25 N Juniata St, Hollidaysburg, PA 16648-1901 | 2007-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | HOLLIDAYSBURG |
| Zip Code | 16648 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.