Mark T Hetzer is a General Practice in Lynnwood, Washington. Mark T Hetzer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark T Hetzer is 1457330490. The last update date is 2007-07-08.
Mark T Hetzer's current location address is 18905 33rd Ave W #201, Lynnwood, Washington. You can contact this provider via phone number 4257719090 and fax number 4257751549. The mailing address for Mark T Hetzer is 18905 33rd Ave W #201, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark T Hetzer |
|---|---|
| Address | 18905 33rd Ave W #201, Lynnwood, Washington |
| Phone Number | 4257719090 |
| Fax Number | 4257751549 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457330490 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18905 33rd Ave W #201 |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980364730 |
| Phone Number | 4257719090 |
| Fax Number | 4257751549 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7051 |
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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 Mark T Hetzer's 1457330490?
The Mark T Hetzer's NPI (National Provider Identifier) Number is 1457330490. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark T Hetzer?
The Mark T Hetzer is situated at 18905 33Rd Ave W #201, in the city of Lynnwood, state of WA, with the zip code 980364730.
What is the Mark T Hetzer's specialty and taxonomy code?
The Mark T Hetzer's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Mark T Hetzer receive the assignment of its 1457330490 from the Centers for Medicare & Medicaid Services?
The Mark T Hetzer was issued its 1457330490 by the Centers for Medicare & Medicaid Services on 2006-01-10.
As of what date was the information pertaining to Mark T Hetzer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark T Hetzer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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