Provider Demographics
NPI:1639237910
Name:HESSER, JAMES KNITTLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KNITTLE
Last Name:HESSER
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 1:415 FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-4931
Mailing Address - Country:US
Mailing Address - Phone:580-237-8082
Mailing Address - Fax:580-233-3078
Practice Address - Street 1:1921 W OWEN K GARRIOTT RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-5528
Practice Address - Country:US
Practice Address - Phone:580-233-3073
Practice Address - Fax:580-233-3078
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice