Organization
JERRY E. HECK, D.M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY E HECK D.M.D. (PRESIDENT)
(937) 444-3311
Entity
Organization
Contact information
Practice address
470 W MAIN ST, MOUNT ORAB, OH 45154-9452
(937) 444-3311
(937) 444-1720
Mailing address
470 W MAIN ST, MOUNT ORAB, OH 45154-9452
(937) 444-3311
(937) 444-1720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20458
OH
Other
Enumeration date
04/12/2008
Last updated
04/12/2008
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