Kurt L. Heller in Jacksonville - Dentist

Kurt L. Heller - NPI 1124168257

Kurt L. Heller is a Dentist in Jacksonville, Illinois. Kurt L. Heller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kurt L. Heller is 1124168257. The last update date is 2007-07-08.

Kurt L. Heller's current location address is 1440 W Walnut St Ste 8, Jacksonville, Illinois. You can contact this provider via phone number 2172438536 and fax number 2172438516. The mailing address for Kurt L. Heller is 1440 W Walnut St Ste 8, Jacksonville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kurt L. Heller
Address 1440 W Walnut St Ste 8, Jacksonville, Illinois
Phone Number 2172438536
Fax Number 2172438516
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1124168257
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1440 W Walnut St Ste 8
City Jacksonville
State Illinois (IL)
Post Code 626501143
Phone Number 2172438536
Fax Number 2172438516

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Kurt L. Heller

What is the unique 10-digit identification code issued to Kurt L. Heller by the Centers for Medicare & Medicaid Services?

The Kurt L. Heller has been assigned the NPI (National Provider Identifier) 1124168257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kurt L. Heller's facilities are geographically located?

The facilities of Kurt L. Heller are physically situated at the following location: 1440 W Walnut St Ste 8, Jacksonville, IL, 626501143.

What is Kurt L. Heller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kurt L. Heller is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124168257 to Kurt L. Heller?

The Centers for Medicare & Medicaid Services assigned the 1124168257 to Kurt L. Heller on 2007-02-07.

As of what date were the details related to Kurt L. Heller most recently updated or revised?

The information pertaining to Kurt L. Heller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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