Mary Elizabeth Hetsko in Clovis - Dentist
Mary Elizabeth Hetsko - NPI 1902951528
Mary Elizabeth Hetsko is a Dentist in Clovis, New Mexico. Mary Elizabeth Hetsko practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mary Elizabeth Hetsko is 1902951528. The last update date is 2007-07-08.
Mary Elizabeth Hetsko's current location address is 7806 Alaska Ct Apt B, Clovis, New Mexico. You can contact this provider via phone number 5053557779 and fax number 5053557894. The mailing address for Mary Elizabeth Hetsko is 7806 Alaska Ct Apt B, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Hetsko |
|---|---|
| Address | 7806 Alaska Ct Apt B, Clovis, New Mexico |
| Phone Number | 5053557779 |
| Fax Number | 5053557894 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1902951528 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7806 Alaska Ct Apt B |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 881018492 |
| Phone Number | 5053557779 |
| Fax Number | 5053557894 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DD2745 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD2745 | NM | NM BOARD OF DENTAL HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Elizabeth Hetsko?
The Mary Elizabeth Hetsko has been issued the NPI (National Provider Identifier) 1902951528 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mary Elizabeth Hetsko located?
The Mary Elizabeth Hetsko is located at 7806 Alaska Ct Apt B, Clovis, NM 881018492.
What is Mary Elizabeth Hetsko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Elizabeth Hetsko's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did Mary Elizabeth Hetsko receive its 1902951528 assignment?
The Mary Elizabeth Hetsko was assigned its 1902951528 on 2007-01-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Mary Elizabeth Hetsko last refreshed?
The information related to the Mary Elizabeth Hetsko, including its address, specialty, and other relevant details, was last updated on 2007-07-08.