# AMY HEIL DMD PC

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

## Provider details

- **NPI number:** 1366616450
- **Authorized official:** AMY M HEIL DMD (OWNER)
- **Authorized official phone:** (623) 434-9343

## Contact information

- **Practice address:** 4760 S PECOS RD, SUITE 103, LAS VEGAS, NV 89121-5828
- **Practice address phone:** (800) 409-2563
- **Practice address fax:** (623) 321-6268
- **Mailing address:** 1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
- **Mailing address phone:** (623) 434-9343
- **Mailing address fax:** (623) 321-6268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5106 | NV | Yes |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 04/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100510475 | — | NV |
| 01 | — | 1144315862 | TYPE 1 NPI | NV |