Peter J. Heath in Mishawaka - Oral & Maxillofacial Surgery

Peter J. Heath - NPI 1396738746

Peter J. Heath is a Oral & Maxillofacial Surgery in Mishawaka, Indiana. Peter J. Heath practices all healthcare services and medical treatments related to Oral & 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
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
Provider Enumeration Date 2005-08-31
Last Updated Date 2015-09-29

Provider Mailing Address Detail

Address 270 E Day Rd
City Mishawaka
State Indiana (IN)
Post Code 465453444
Phone Number 5742728823
Fax Number 5742771837

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 12434R
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

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

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FAQs about Peter J. Heath

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 & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.

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.

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