Organization
HETTINGER FAMILY DENTAL, P.C.
Active
Parent organization
HETTINGER FAMILY DENTAL, P.C.
Other names
Dickinson Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HETTINGER FAMILY DENTAL, P.C.
Authorized official
DR. BRODY PETERSON DDS (OWNER)
(605) 639-0448
Entity
Organization
Contact information
Practice address
2 1ST ST W STE 215, DICKINSON, ND 58601-5106
(701) 483-6999
Mailing address
2 1ST ST W STE 215, DICKINSON, ND 58601-5106
(701) 483-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588313134
INDIVIDUAL NPI
ND
Enumeration date
01/16/2025
Last updated
01/16/2025
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