Individual
DR. PETER FREDERICK HEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
USA DENTAL ACTIVITY, 652 HAMILTON RD., FORT SILL, OK 73503
(580) 442-5488
Mailing address
CDR US ARMY DENTAL ACTIVITY, 2441 21ST STREET, FORT CAMPBELL, TN 37040
(270) 798-8977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9383
SC
Other
Enumeration date
08/06/2019
Last updated
07/27/2020
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