Organization
AMY HEIL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M HEIL DMD (OWNER)
(623) 434-9343
Entity
Organization
Contact information
Practice address
4760 S PECOS RD, SUITE 103, LAS VEGAS, NV 89121-5828
(800) 409-2563
(623) 321-6268
Mailing address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 321-6268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5106
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510475
—
NV
01
—
1144315862
TYPE 1 NPI
NV
Enumeration date
04/18/2008
Last updated
04/24/2008
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