DR. John Heffernan JR., D.D.S

NPI #1417217795 in Brunswick, Ohio

Provider Information

NPI Number: 1417217795
Entity Type: Individual
Name: DR. John Heffernan JR., D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: May 21, 2012
Last Updated: Dec 10, 2024

Practice Location

Address: 1832 PEARL RD
City: Brunswick
State: Ohio
ZIP Code: 44212-3252
Phone: (330) 460-3016

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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