DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PETER J. HEATH, D.D.S., M.D.

Active

DR. PETER J. HEATH, D.D.S., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in MISHAWAKA, Indiana. NPI 1396738746 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · MISHAWAKA, IN

Registration Details

NPI Number
1396738746
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2005 (20.914214173654 yrs)
Last Updated
Sep 29, 2015
Licenses
9545 (MD)
2503 (NH)
12434R (LA)

Practice Information

Address
270 E DAY RD
SUITE 260
MISHAWAKA, IN, 465453444
Browse IN providers · Browse ZIP 46545
Phone
5742728823
Fax
5742771837
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.