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

DR. SCOTT JOSEPH HEITZMANN, DMD

Active Sole Proprietor

DR. SCOTT JOSEPH HEITZMANN, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LYNN HAVEN, Florida. NPI 1679592612 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · LYNN HAVEN, FL

Registration Details

NPI Number
1679592612
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (20.101425254993 yrs)
Last Updated
Jan 23, 2017
License
DN17426 (FL)
Sole Proprietor
Yes

Practice Information

Address
725 OHIO AVE
LYNN HAVEN, FL, 324441757
Browse FL providers · Browse ZIP 32444
Phone
8502718001
Fax
8502770390
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
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.