# HETTINGER FAMILY DENTAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HETTINGER FAMILY DENTAL, P.C.
- **Other names:** Dickinson Dental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902617103
- **Legal business name:** HETTINGER FAMILY DENTAL, P.C.
- **Authorized official:** DR. BRODY PETERSON DDS (OWNER)
- **Authorized official phone:** (605) 639-0448

## Contact information

- **Practice address:** 2 1ST ST W STE 215, DICKINSON, ND 58601-5106
- **Practice address phone:** (701) 483-6999
- **Mailing address:** 2 1ST ST W STE 215, DICKINSON, ND 58601-5106
- **Mailing address phone:** (701) 483-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 01/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588313134 | INDIVIDUAL NPI | ND |