Individual
DR. EMILY ANN HEITZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
112 S MAPLE ST, RIDGELAND, MS 39157-2305
(601) 707-5585
(601) 707-5586
Mailing address
512 ELLERSLIE LN, MADISON, MS 39110-8327
(601) 750-3701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3491-08
MS
1223P0221X
Pediatric Dentistry
Primary
464-13
MS
Other
Enumeration date
07/09/2008
Last updated
03/17/2018
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