Individual provider · Type 1 NPI

Charles Knisely Fetterhoff Jr., DMD

General Practice Dentistry · Harrisburg, PA

NPI number 1508984501 Active

Practice location

4231 Elmerton Avenue
Harrisburg, PA 17109-2394

Call (717) 652-5401 Map

Fax (717) 652-5202

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS0175276 (PA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1508984501

Charles Knisely Fetterhoff Jr., DMD's National Provider Identifier is 1508984501, issued on Mar 27, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Harrisburg, PA. The record was last updated on Jul 8, 2007.