Organization
GARY J. HECKENBERGER, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J. HECKENBERGER D.D.S., P.C. (OWNER)
(610) 866-7021
Entity
Organization
Contact information
Practice address
1234 EATON AVE, BETHLEHEM, PA 18018-1806
(610) 866-7021
(610) 866-7021
Mailing address
1234 EATON AVE, BETHLEHEM, PA 18018-1806
(610) 866-7021
(610) 866-7021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS023663L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167046
UCCI PROVIDER ID
PA
Enumeration date
11/06/2006
Last updated
08/22/2020
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