# KEVIN M. HEANEY, D.D.S.

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

## Provider details

- **NPI number:** 1649772062
- **Authorized official:** DR. KEVIN M HEANEY DDS (DENTIST)
- **Authorized official phone:** (201) 487-4008

## Contact information

- **Practice address:** 261 SUMMIT AVE, HACKENSACK, NJ 07601-1431
- **Practice address phone:** (201) 487-4008
- **Practice address fax:** (201) 996-1055
- **Mailing address:** 261 SUMMIT AVE, HACKENSACK, NJ 07601-1431
- **Mailing address phone:** (201) 487-4008
- **Mailing address fax:** (201) 996-1055

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 03/01/2018