Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK E. HEIDEMAN, D.D.S.
Active Sole ProprietorDR. MARK E. HEIDEMAN, D.D.S. is a Dentist healthcare provider located in SHAWANO, Wisconsin. NPI 1891851358 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHAWANO, WI
Registration Details
- NPI Number
- 1891851358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2006 (19.63602612265 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2270 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
920 E 5TH STSHAWANO, WI, 541662212Browse WI providers · Browse ZIP 54166
- Phone
- 7155242581
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SHAWANO, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY L ZANDER | DDS | 1477536613 |
| JOHN MILTON DOVORANY | DDS | 1740343086 |
| DR. THOMAS F. HENKE | D.D.S. | 1649395682 |
| DR. JOHN WILLIAM DAHLIE | DDS | 1164640066 |
| JENNA LANG | D.D.S. | 1649535584 |
| DR. CASEY DORSCH | DDS | 1942730858 |
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.