Healthcare Provider Details

I. General information

NPI: 1194706630
Provider Name (Legal Business Name): NOEL HECHT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 BROADWAY
BROOKLYN NY
11206-4403
US

IV. Provider business mailing address

20 GLENADA
ROSLYN ESTATES NY
11576
US

V. Phone/Fax

Practice location:
  • Phone: 718-963-1919
  • Fax:
Mailing address:
  • Phone: 516-621-5870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number026969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: