Organization
DIANE J. HECKLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE J HECKLEY DDS (DENTIST OWNER)
(812) 323-9970
Entity
Organization
Contact information
Practice address
230 N MORTON ST, BLOOMINGTON, IN 47404-3964
(812) 323-9970
(812) 323-9961
Mailing address
PO BOX 1150, BLOOMINGTON, IN 47402-1150
(812) 323-9970
(812) 323-9961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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