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HETRICK & HOLLOMAN DDS PLLC
NPI 1083175186
Dentist - General Practice in Edmond, OK

Active since March 29, 2019
218 E 10TH STREET PLZ, EDMOND, OK 73034(405) 341-7046 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hetrick & Holloman Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETRICK & HOLLOMAN DDS PLLC (NPI 1083175186) is a healthcare organization registered as a general practice in Edmond, Oklahoma and active in the NPI registry since March 2019. The organization lists Beverly Rosenhamer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083175186
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHETRICK & HOLLOMAN DDS PLLC
Location Address218 E 10TH STREET PLZEdmond, OK 73034-4737
Mailing Address218 E 10th Street PlzEdmond, OK 73034-4737 · (405) 341-7046
Phone(405) 341-7046
Organization SubpartNo
Authorized OfficialBeverly RosenhamerOffice Manager · (405) 341-7046
Enumeration DateMarch 29, 2019
✔ NPI 1083175186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
218 E 10TH STREET PLZ, Edmond, OK 73034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES W HETRICK
Dentist
218 E 10TH STREET PLZ
EDMOND, OK 73034
Oklahoma County (405) 341-7046
DR. MATTHEW JAMES HOLLOMAN DDS
Dentist (General Practice)
218 E 10TH STREET PLZ
EDMOND, OK 73034
Oklahoma County (405) 341-7046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetrick & Holloman Dds PLLC's NPI number?

The NPI number for Hetrick & Holloman Dds PLLC is 1083175186. It was assigned to this organization in the NPPES registry on March 29, 2019.

Where is Hetrick & Holloman Dds PLLC located?

Hetrick & Holloman Dds PLLC is located at 218 E 10th Street Plz, Edmond, OK 73034. The listed phone number is (405) 341-7046.

What is Hetrick & Holloman Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hetrick & Holloman Dds PLLC was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.