MR. Gregory Heideman, D.M.D.

NPI #1922104082 in Las Vegas, Nevada

Provider Information

NPI Number: 1922104082
Entity Type: Individual
Name: MR. Gregory Heideman, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Sep 16, 2006
Last Updated: Aug 18, 2015

Practice Location

Address: 6950 SMOKE RANCH RD STE 150
City: Las Vegas
State: Nevada
ZIP Code: 89128-1301
Phone: (702) 304-1902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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