Provider Demographics
NPI:1124225727
Name:HELSEL, DAVID FREDRIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FREDRIC
Last Name:HELSEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 851
Mailing Address - Street 2:BLDG. 410, SUITE 3, MAIN STREET
Mailing Address - City:MATHEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23109-0851
Mailing Address - Country:US
Mailing Address - Phone:804-725-7500
Mailing Address - Fax:
Practice Address - Street 1:MAIN STREET
Practice Address - Street 2:BLDG. 410, SUITE 3
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109-0851
Practice Address - Country:US
Practice Address - Phone:804-725-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3622122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist