Individual
DR. MATTHEW JOSEPH HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
312 CENTER ST, LAKE GENEVA, WI 53147-1904
(262) 248-8766
Mailing address
1567 EVERGREEN LN, LAKE GENEVA, WI 53147-9708
(262) 903-9104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
105787
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.035975
IL
Other
Enumeration date
06/21/2020
Last updated
08/06/2025
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