Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487861530 Individual Practitioner Male Practitioner

Charles W Hetrick

Dentist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Charles Hetrick is a registered healthcare professional specializing in Dentist in Edmond, OK. Practice services are available at 218 E 10TH STREET PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

218 E 10th Street Plz

Edmond, OK 730344737

Telephone 4053417046
Associated Practice Facility / Clinic
🏢 Hetrick & Holloman Dds Pllc Facility NPI 1083175186

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
36 Specialists

Practicing in Edmond, OK (1115 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 4032

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

1 Associated Practitioners
Dr. Matthew Holloman , DDS

Dentist - General Practice

NPI 1578745857

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 218 E 10TH STREET PLZ, EDMOND, OK 730344737 (Tel: 4053417046)

📍
Updated Business Mailing Address July 08, 2007

Registered at 218 E 10TH STREET PLZ, EDMOND, OK 730344737 (Tel: 4053417046)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES HETRICK

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

Dentist (License #4032 in OK)

🟢
Initial NPI Registration & Enumeration May 17, 2007

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: 1487861530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: January 11, 2019
Sole Proprietor: No

Mailing Address

218 E 10th Street Plz

Edmond, OK 730344737

Phone: 4053417046

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.