Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Knisely Fetterhoff Jr., DMD

Individual provider General Practice Dentistry · NPI 1508984501

Charles Knisely Fetterhoff Jr., DMD is a General Practice Dentistry in Harrisburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4231 Elmerton Ave
Harrisburg, PA 17109-2394
Phone: (717) 652-5401
Fax: (717) 652-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS0175276 (PA)

Record details

NPI number1508984501
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007

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