Provider Demographics
NPI:1124411152
Name:STEVEN Z HECHTMAN, DDS, PC
Entity Type:Organization
Organization Name:STEVEN Z HECHTMAN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HECHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-669-5220
Mailing Address - Street 1:55 N POND DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3080
Mailing Address - Country:US
Mailing Address - Phone:248-669-5220
Mailing Address - Fax:
Practice Address - Street 1:55 N POND DR
Practice Address - Street 2:SUITE 3
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-3080
Practice Address - Country:US
Practice Address - Phone:248-669-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901010552261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental