National Provider Identifier
Jacqueline Michelle Hetterich, DDS
Jacqueline Michelle Hetterich, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Buffalo, NY and a listed phone number of (717) 875-2904.
Profile Overview
- NPI
- 1437645504
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- July 02, 2018
- Last Updated
- July 02, 2018
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (717) 875-2904
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1437645504
- Entity Type
- Individual
- Last Name
- Hetterich
- First Name
- Jacqueline
- Middle Name
- Michelle
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (717) 875-2904
- Enumeration Date
- July 02, 2018
- Last Updated
- July 02, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)