DR. Jason Ira Heideman, DDS

NPI #1164098802 in Tamarac, Florida

Provider Information

NPI Number: 1164098802
Entity Type: Individual
Name: DR. Jason Ira Heideman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 2, 2021
Last Updated: Jun 21, 2023

Practice Location

Address: 6268 NORTH UNIVERSITY DRIVE
City: Tamarac
State: Florida
ZIP Code: 33321
Phone: (732) 947-8445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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