CLINTON NEAL HETRICK DDS
NPI 1720105067
Dentist - General Practice in Stillwater, OK

Q: What is Clinton Hetrick's NPI number?

The NPI number for Clinton Hetrick is 1720105067. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Q: What is Clinton Hetrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clinton Hetrick 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.

Active since March 23, 2007PECOS Enrolled

1522 W 8TH AVE, STILLWATER, OK 74074(405) 372-8300(405) 377-0090 Get Directions Write a Review

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

On this page

About Clinton Neal Hetrick Dds NPPES

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

CLINTON NEAL HETRICK DDS (NPI 1720105067) is an individual general practice provider in Stillwater, Oklahoma, licensed in Oklahoma (4416) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720105067

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCLINTON NEAL HETRICKCredential: DDS

Location Address1522 W 8TH AVEStillwater, OK 74074-4372

Mailing Address1522 W 8th AveStillwater, OK 74074-4372 · (405) 372-8300 · Fax (405) 377-0090

Phone(405) 372-8300

Fax(405) 377-0090

Sole ProprietorYes

Enumeration DateMarch 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720105067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 4416

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.

1522 W 8TH AVE, Stillwater, OK 74074

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Neal Hetrick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SMILE STUDIO - STILLWATER, PLLC

Dentist

1522 W 8TH AVE
STILLWATER, OK 74074

Payne County (405) 372-8300

REED LEMONS DMD

Dentist (General Practice)

1522 W 8TH AVE
STILLWATER, OK 74074

Payne County (405) 870-1526

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 Clinton Hetrick's NPI number?

The NPI number for Clinton Hetrick is 1720105067. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Clinton Hetrick located?

Clinton Hetrick practices at 1522 W 8th Ave, Stillwater, OK 74074. The listed phone number is (405) 372-8300.

What is Clinton Hetrick's specialty?

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

Is Clinton Hetrick enrolled in Medicare?

Yes. Clinton Hetrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clinton Hetrick 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.