Heitzmann Dentistry

NPI #1275836447 in Ridgeland, Mississippi

Provider Information

NPI Number: 1275836447
Entity Type: Organization
Organization Name: Heitzmann Dentistry
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2010
Last Updated: Dec 9, 2010

Practice Location

Address: 207 W JACKSON ST STE B
City: Ridgeland
State: Mississippi
ZIP Code: 39157-2355
Phone: (601) 707-5585

Authorized Official

Name: DR. CASEY BRIAN HEITZMANN, DMD
Title: DENTIST
Phone: (601) 707-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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