Provider Demographics
NPI:1598785735
Name:HECHTKOPF, MICHAEL J (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:HECHTKOPF
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:J
Other - Last Name:HECHTKOPF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3145 VIRGINIA BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6950
Mailing Address - Country:US
Mailing Address - Phone:757-340-2400
Mailing Address - Fax:757-486-5471
Practice Address - Street 1:3145 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6950
Practice Address - Country:US
Practice Address - Phone:757-340-2400
Practice Address - Fax:757-486-5471
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010042451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry