John Joseph Hederman, D.D.S

General Practice Dentistry · Port Arthur, TX

Individual Active NPI

NPI number 1588662712

Practice location

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone
(409) 983-1161
Fax
(409) 983-4933

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NPI record

NPI
1588662712
Entity type
Individual (Type 1)
Enumeration date
July 12, 2005
Last updated
August 3, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14309 TX

About Dr. Hederman

John Joseph Hederman, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2548 Memorial Blvd, Port Arthur, TX 77640-2825. The NPI number 1588662712 was assigned on July 12, 2005 and the record was last updated on August 3, 2011.

Dr. Hederman lists a license in the registry: #14309 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Joseph Hederman, D.D.S?

The NPI number is 1588662712.

What is the phone number of Dr. Hederman?

The phone number listed for the practice location is (409) 983-1161.

Where is Dr. Hederman located?

2548 Memorial Blvd, Port Arthur, TX 77640-2825.

What is the taxonomy code for Dr. Hederman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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