Provider Demographics
NPI:1639106412
Name:HECHT, FREDERICK S (DMD)
Entity Type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:S
Last Name:HECHT
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 1:1520 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1519
Mailing Address - Country:US
Mailing Address - Phone:718-761-5757
Mailing Address - Fax:718-698-6377
Practice Address - Street 1:1520 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1519
Practice Address - Country:US
Practice Address - Phone:718-761-5757
Practice Address - Fax:718-698-6377
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031476-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice