Peter J. Heath in Mishawaka - Oral And Maxillofacial Surgery
Peter J. Heath - NPI 1396738746
Peter J. Heath is a Oral And Maxillofacial Surgery in Mishawaka, Indiana. Peter J. Heath practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Peter J. Heath is 1396738746. The last update date is 2015-09-29.
Peter J. Heath's current location address is 270 E Day Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742728823 and fax number 5742771837. The mailing address for Peter J. Heath is 270 E Day Rd, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter J. Heath |
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Address | 270 E Day Rd, Mishawaka, Indiana |
Phone Number | 5742728823 |
Fax Number | 5742771837 |
Sole Proprietor | N |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1396738746 |
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Provider Enumeration Date | 2005-08-31 |
Last Updated Date | 2015-09-29 |
Provider Mailing Address Detail
Address | 270 E Day Rd |
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City | Mishawaka |
State | Indiana (IN) |
Post Code | 465453444 |
Phone Number | 5742728823 |
Fax Number | 5742771837 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 9545 |
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
01063978A | IN | IN MEDICAL LICENSE | |
200870900 | IN | -- | |
2503 | NH | DENTAL LICENSE (INACTIVE) | |
9545 | MD | DENTAL LICENSE | |
12011044A | IN | IN DENTAL LICENSE | |
12434R | LA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peter J. Heath by the Centers for Medicare & Medicaid Services?
The Peter J. Heath has been issued the NPI (National Provider Identifier) 1396738746, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peter J. Heath is physically located?
The Peter J. Heath is physically situated at the following address: 270 E Day Rd, Mishawaka, IN, 465453444.
What is Peter J. Heath's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter J. Heath is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Peter J. Heath receive the assignment of its 1396738746 from the Centers for Medicare & Medicaid Services?
The Peter J. Heath was issued its 1396738746 by the Centers for Medicare & Medicaid Services on 2005-08-31.
As of what date were the details related to Peter J. Heath most recently updated or revised?
The information pertaining to Peter J. Heath, including its address, specialty, and other relevant details, was last updated or revised on 2015-09-29.