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Individual
DR. ROBERT HEIST
Active
Individual
DR. ROBERT HEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30015652
OH
122300000X
Dentist
Primary
D8746
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099071
—
OH
05
—
168395
—
OR
01
—
D8746
STATE LICENCE NUMBER
OR
01
—
R103163
MEDICARE PART B
—
Enumeration date
08/31/2006
Last updated
02/28/2017
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