CHARLES KNISELY FETTERHOFF JR. DMD
NPI 1508984501
Dentist - General Practice in Harrisburg, PA

Q: What is Charles Fetterhoff's NPI number?

The NPI number for Charles Fetterhoff is 1508984501. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Charles Fetterhoff's specialty?

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

Active since March 27, 2007

4231 ELMERTON AVENUE, HARRISBURG, PA 17109(717) 652-5401(717) 652-5202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles Knisely Fetterhoff Jr. Dmd NPPES

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

CHARLES KNISELY FETTERHOFF JR. DMD (NPI 1508984501) is an individual general practice provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (DS0175276) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508984501

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHARLES KNISELY FETTERHOFF JR.Credential: DMD

Location Address4231 ELMERTON AVENUEHarrisburg, PA 17109-2394

Mailing Address4231 Elmerton AvenueHarrisburg, PA 17109-2394 · (717) 652-5401 · Fax (717) 652-5202

Phone(717) 652-5401

Fax(717) 652-5202

Sole ProprietorNo

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508984501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS0175276

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.

4231 ELMERTON AVENUE, Harrisburg, PA 17109

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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 Charles Fetterhoff's NPI number?

The NPI number for Charles Fetterhoff is 1508984501. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Charles Fetterhoff located?

Charles Fetterhoff practices at 4231 Elmerton Avenue, Harrisburg, PA 17109. The listed phone number is (717) 652-5401.

What is Charles Fetterhoff'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 Charles Fetterhoff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.