Justin Wayne Heiden in Sunnyside - Dentist
Justin Wayne Heiden - NPI 1730206616
Justin Wayne Heiden is a Dentist in Sunnyside, Washington. Justin Wayne Heiden practices all healthcare services and medical treatments related to Dentist. The NPI Number for Justin Wayne Heiden is 1730206616. The last update date is 2008-04-22.
Justin Wayne Heiden's current location address is 412 S 13th St, Sunnyside, Washington. You can contact this provider via phone number 5098374213. The mailing address for Justin Wayne Heiden is 412 S 13th St, Sunnyside, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Wayne Heiden |
|---|---|
| Address | 412 S 13th St, Sunnyside, Washington |
| Phone Number | 5098374213 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D,S. |
NPI Number Detail
| NPI Number | 1730206616 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 412 S 13th St |
|---|---|
| City | Sunnyside |
| State | Washington (WA) |
| Post Code | 989441571 |
| Phone Number | 5098374213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D 5642 |
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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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What is the Justin Wayne Heiden's 1730206616?
The Justin Wayne Heiden's NPI (National Provider Identifier) Number is 1730206616. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Justin Wayne Heiden located?
The Justin Wayne Heiden is located at 412 S 13Th St, Sunnyside, WA 989441571.
What is Justin Wayne Heiden's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Justin Wayne Heiden's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Justin Wayne Heiden receive its 1730206616?
The Justin Wayne Heiden was issued its 1730206616 on 2007-03-23, which is the date when the organization was assigned this unique identifier.
When was the Justin Wayne Heiden's information last updated?
The Justin Wayne Heiden's information was last updated on 2008-04-22.
NPI Number: 1235130048
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