Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225601438 Individual Practitioner Male Practitioner

Dr. Nicholas Fetters , DDS

Dentist • Jbphh, HI

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Fetters, DDS is a registered healthcare professional specializing in Dentist in Jbphh, HI. Practice services are available at 480 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Jbphh, HI 968604908

Telephone 8084731880
Associated Practice Facility / Clinic
🏢 Naval Health Clinic Hawaii Facility NPI 1306720446

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jbphh, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Jbphh, HI (445 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: 2024-08-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033086

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013904135

Pharmacist

NPI 1013908151

Doctor of Medicine (M.D.)

Karen Widman , RN

Registered Nurse

NPI 1023435963

Registered Nurse

Dr. Nicole Deren , MD

Family Medicine

NPI 1023469095

Doctor of Medicine (M.D.)

Nikki Price

Registered Nurse

NPI 1023608270
Dr. Joseph Jarman , DMD MS

Dentist - Prosthodontics

NPI 1033528724

DMDMS

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address August 25, 2024

Registered at 1253 MAKALAPA GATE RD, JBPHH, HI 968604479 (Tel: 8084731880)

📍
Updated Practice Location June 13, 2024

Registered at 480 CENTRAL AVE, JBPHH, HI 968604908 (Tel: 8084731880)

📍
Updated Business Mailing Address June 13, 2024

Registered at 974 E STONE CREEK CIR, CRYSTAL LAKE, IL 600141936 (Tel: 8155721662)

📍
Updated Practice Location October 10, 2023

Registered at USS TRIPOLI LHA 7, UNIT 100429, FPO, AP 96694 (Tel: 8155721662)

📍
Updated Business Mailing Address October 10, 2023

Registered at 677 7TH AVE UNIT 224, SAN DIEGO, CA 921016456 (Tel: 8155721662)

NPI Profile Active July 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2021

Registered at 8901 ROCKVILLE PIKE, BETHESDA, MD 208895095 (Tel: 3012954000)

📍
Updated Business Mailing Address July 24, 2021

Registered at 4801 FAIRMONT AVE APT 713, BETHESDA, MD 208146049 (Tel: 8155721662)

👤
Provider Name / Credentials Updated July 24, 2021

Recorded as NICHOLAS FETTERS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2021

Dentist (License #019.033086 in IL)

🟢
Initial NPI Registration & Enumeration July 24, 2021

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: 1225601438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2021
Last Update: August 25, 2024
Sole Proprietor: Yes

Mailing Address

1253 Makalapa Gate Rd

Jbphh, HI 968604479

Phone: 8084731880

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.