Provider Demographics
NPI:1851405120
Name:HEGGERICK, WILLIAM CHARLES (DDS FACP)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:HEGGERICK
Suffix:
Gender:M
Credentials:DDS FACP
Other - Prefix:
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Mailing Address - Street 1:56 COLPITTS RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1568
Mailing Address - Country:US
Mailing Address - Phone:781-894-0347
Mailing Address - Fax:781-894-0835
Practice Address - Street 1:56 COLPITTS RD
Practice Address - Street 2:WILLIAM C HEGGERICK DDS AND ASSOCIATES INC
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1568
Practice Address - Country:US
Practice Address - Phone:781-894-0347
Practice Address - Fax:781-894-0835
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MADN115171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics