Provider Demographics
NPI:1437896958
Name:HEGARTY, MEGHAN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:HEGARTY
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12608 AMBER TER
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7029
Mailing Address - Country:US
Mailing Address - Phone:804-517-1149
Mailing Address - Fax:
Practice Address - Street 1:81030 GRICIGNANO DI AVERSA, PROVINCE OF CASERTA
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09618
Practice Address - Country:US
Practice Address - Phone:081-811-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA04014179111223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program