Individual
DR. MICHAEL THOMAS HEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5650 MEXICO RD STE 5, SAINT PETERS, MO 63376-1696
(636) 447-6665
(636) 447-2973
Mailing address
PO BOX 326, COTTLEVILLE, MO 63338-0326
(314) 616-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14724
MO
Other
Enumeration date
09/01/2006
Last updated
04/08/2021
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