Provider Demographics
NPI:1598818528
Name:HENGST, DANIEL S (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:HENGST
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 FOREST HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1062
Mailing Address - Country:US
Mailing Address - Phone:717-233-2464
Mailing Address - Fax:
Practice Address - Street 1:24 N 2ND ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:PA
Practice Address - Zip Code:17074-1501
Practice Address - Country:US
Practice Address - Phone:717-567-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031028-L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist