DR. Kenneth Lloyd Heitman, D.D.S., M.S.D.
NPI #1396784427 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1396784427
- Entity Type
- Individual
- Name
- DR. Kenneth Lloyd Heitman, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8101 SHELBY ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46227-6278
- Phone
- (317) 882-5088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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