Individual
DR. CAROLINE DAVIS HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
17 HANOVER RD, FLORHAM PARK, NJ 07932-1411
(973) 852-3158
Mailing address
19 MILE RD, SUFFERN, NY 10901-3505
(845) 548-4157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02645900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2015
Last updated
11/21/2016
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