# GARY J. HECKENBERGER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316026628
- **Authorized official:** DR. GARY J. HECKENBERGER D.D.S., P.C. (OWNER)
- **Authorized official phone:** (610) 866-7021

## Contact information

- **Practice address:** 1234 EATON AVE, BETHLEHEM, PA 18018-1806
- **Practice address phone:** (610) 866-7021
- **Practice address fax:** (610) 866-7021
- **Mailing address:** 1234 EATON AVE, BETHLEHEM, PA 18018-1806
- **Mailing address phone:** (610) 866-7021
- **Mailing address fax:** (610) 866-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS023663L | PA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 167046 | UCCI PROVIDER ID | PA |