Individual
MARCUS SCOTT HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103129
CA
122300000X
Dentist
30.025702
OH
1223P0221X
Pediatric Dentistry
Primary
30.025702
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363898
—
OH
Enumeration date
07/22/2014
Last updated
10/24/2025
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