Individual
DR. MATTHEW DAVID HEINEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8060 N SHADELAND AVE STE B, INDIANAPOLIS, IN 46250-2690
(317) 288-5023
(317) 288-5067
Mailing address
697 LOUISIANA DRIVE, DYESS AFB, TX 79607
(325) 696-2304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010829A
IN
Other
Enumeration date
06/26/2006
Last updated
05/26/2020
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