| Advanced Dentistry - Heffernan Dds Llc | |
|
1832 Pearl Rd Brunswick OH 44212-3252 | |
| (330) 460-3016 | |
| Not Available |
| Full Name | Advanced Dentistry - Heffernan Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 1832 Pearl Rd, Brunswick, Ohio |
| Authorized Official Name and Position | John Heffernan (MEMBER) |
| Authorized Official Contact | 6145829617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dentistry - Heffernan Dds Llc 1832 Pearl Rd Brunswick OH 44212-3252 Ph: () - | Advanced Dentistry - Heffernan Dds Llc 1832 Pearl Rd Brunswick OH 44212-3252 Ph: (330) 460-3016 |
| NPI Number | 1891367488 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891367488 | NPI | - | NPPES |
| 1417217795 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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