Organization
HEINECKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY HEINECKE MASSEY DMD (ASSOCIATE DENTIST)
(352) 796-0917
Entity
Organization
Contact information
Practice address
103 BELL AVE, BROOKSVILLE, FL 34601-2603
(352) 796-3380
(352) 796-0937
Mailing address
7135 MARINER BLVD, SPRING HILL, FL 34609-1048
(352) 796-0917
(352) 515-5761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 22000
FL
1223G0001X
General Practice Dentistry
DN 22001
FL
1223G0001X
General Practice Dentistry
DN11090
FL
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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