Healthcare Provider Details

I. General information

NPI: 1437896958
Provider Name (Legal Business Name): MEGHAN HEGARTY DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 07/02/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81030 GRICIGNANO DI AVERSA, PROVINCE OF CASERTA
FPO AE
09618
US

IV. Provider business mailing address

12608 AMBER TER
RICHMOND VA
23233-7029
US

V. Phone/Fax

Practice location:
  • Phone: 81-811-6007
  • Fax:
Mailing address:
  • Phone: 804-517-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number0401417911
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: