# DIANE J HECKLEY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOWNTOWN DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437282092
- **Authorized official:** DR. DIANE J HECKLEY DDS (OWNER PRESIDENT)
- **Authorized official phone:** (812) 323-9970

## Contact information

- **Practice address:** 1510 I ST, BEDFORD, IN 47421-3836
- **Practice address phone:** (812) 323-9970
- **Practice address fax:** (812) 323-9961
- **Mailing address:** PO BOX 1150, BLOOMINGTON, IN 47402-1150
- **Mailing address phone:** (812) 323-9970
- **Mailing address fax:** (812) 323-9961

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020