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

Dillon Hebertson, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649067687

Dillon Hebertson, DDS is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

110 Bergen St Rm B854
Newark, NJ 07103-2495
Phone: (973) 972-3126
Fax: (973) 972-7322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 22DI03102000 (NJ)

Record details

NPI number1649067687
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address521 W 180th St Apt 5c, New York, NY 10033-5933

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