Jessica Beth Hetcko in Pocatello - General Practice
Jessica Beth Hetcko - NPI 1356507925
Jessica Beth Hetcko is a General Practice in Pocatello, Idaho. Jessica Beth Hetcko practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica Beth Hetcko is 1356507925. The last update date is 2008-08-04.
Jessica Beth Hetcko's current location address is 921 S. 8th Ave, Stop 8088, Pocatello, Idaho. You can contact this provider via phone number 2082826000 and fax number 2082824950. The mailing address for Jessica Beth Hetcko is 921 S. 8th Ave, Stop 8088, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Beth Hetcko |
|---|---|
| Address | 921 S. 8th Ave, Stop 8088, Pocatello, Idaho |
| Phone Number | 2082826000 |
| Fax Number | 2082824950 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356507925 |
|---|---|
| Provider Enumeration Date | 2008-08-04 |
| Last Updated Date | 2008-08-04 |
Provider Mailing Address Detail
| Address | 921 S. 8th Ave, Stop 8088 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832098088 |
| Phone Number | 2082826000 |
| Fax Number | 2082824950 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-4180 |
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Definition: 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. |
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What is the Jessica Beth Hetcko's 1356507925?
The Jessica Beth Hetcko's NPI (National Provider Identifier) Number is 1356507925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jessica Beth Hetcko's physical address?
The Jessica Beth Hetcko is physically located at 921 S. 8Th Ave, Stop 8088, in the city of Pocatello, ID, with the postal code 832098088.
What is Jessica Beth Hetcko's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Beth Hetcko is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1356507925 assigned to Jessica Beth Hetcko?
The Jessica Beth Hetcko was issued its 1356507925 on 2008-08-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jessica Beth Hetcko most recently updated or revised?
The details related to Jessica Beth Hetcko, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-04.