The Dental Depot

LBN: Richard F Hettinger
The Dental Depot is an health care organization with primary practice located at 3900 Floyd Blvd , Sioux City IA 51108-1552. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Richard F Hettinger can be contacted via phone (712) 239-5812, or through Hettinger, Richard F via phone (712) 239-5812.

Contact Information

Primary practice address
3900 Floyd Blvd Sioux City IA 51108-1552
Phone: (712) 239-5812
Fax: (712) 239-0662
Website:
Map and Directions
Authorized official contact:
Name: Hettinger, Richard F Doctor of Dental Surgery (DDS)
Phone: (712) 239-5812

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6429 Iowa
Dental Providers / General Practice 1223G0001X 7590 Iowa

Profile Details

NPI number 1053432047
LBN Legal business name Richard F Hettinger
DBA Doing business as The Dental Depot
Authorized official Hettinger, Richard F Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 24th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053432047 NPPES
Iowa MEDICAID 0166330

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