Individual
DR. JEFFREY HEINZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
158 MARCELL DR NE STE A, ROCKFORD, MI 49341-1393
(616) 951-3006
Mailing address
158 MARCELL DR NE STE A, ROCKFORD, MI 49341-1393
(616) 951-3006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021273
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021273
MI
Other
Enumeration date
06/09/2014
Last updated
09/30/2020
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