Individual provider · Type 1 NPI

Sydney Hetherington, DMD

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1740969310 Active

Practice location

625 Elmwood Ave
Rochester, NY 14620-2913

Mailing address

183 E Main St Apt 802
Rochester, NY 14604-1623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740969310

Sydney Hetherington, DMD's National Provider Identifier is 1740969310, issued on Jul 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Jul 12, 2023.