Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639166978 Individual Practitioner Male Practitioner

Dr. Michael Lee Hetsko , DDS

Dentist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Hetsko, DDS is a registered healthcare professional specializing in Dentist in Riverside, CA. Practice services are available at 2933 UNIVERSITY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2933 University Ave

Riverside, CA 925074243

Telephone 9512248230
Fax 5057846028
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Riverside, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 58077

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

22675 Alessandro Blvd

Moreno Valley, CA 925538551

Phone: 9515712365

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Marla Buckles , FNP

Nurse Practitioner - Family

NPI 1043208838

Family Nurse Practitioner

Dr. Walter Matthews , MD

Preventive Medicine - Aerospace Medicine

NPI 1326035676

Doctor of Medicine (M.D.)

Michelle Harmon , WOMENS HEALTH CARE N

Nurse Practitioner - Obstetrics & Gynecology

NPI 1366439606

WOMENSHEALTHCAREN

Scott Massaro , PSYCHOLOGIST

Psychologist - Clinical

NPI 1366439614
NPI 1437146768

Doctor of Dental Surgery

Dr. Clarence Cotton , MD

Preventive Medicine - Aerospace Medicine

NPI 1548477284

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 12, 2020

Registered at 2933 UNIVERSITY AVE, RIVERSIDE, CA 925074243 (Tel: 9512248230)

📍
Updated Business Mailing Address June 12, 2020

Registered at 23477 BENDING OAK CT, MURRIETA, CA 925623300 (Tel: 9515441515)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Dentist (License #58077 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 208 W CASABLANCA AVE, 27 MEDICAL GROUP, BLDG 1400, CANNON AFB, CLOVIS, NM 881035009 (Tel: 5057846608)

📍
Updated Business Mailing Address July 08, 2007

Registered at 208 W CASABLANCA AVE, 27 MEDICAL GROUP, BLDG 1400, CANNON AFB, CLOVIS, NM 881035009 (Tel: 5057846608)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL HETSKO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19026214 in IL)

🟢
Initial NPI Registration & Enumeration October 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639166978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2005
Last Update: June 12, 2020
Sole Proprietor: No

Mailing Address

23477 Bending Oak Ct

Murrieta, CA 925623300

Phone: 9515441515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.