| Bryce Heiner, Dmd, Md, Llc | |
|
2103 Telshor Ct Las Cruces NM 88011-8245 | |
| (575) 522-8800 | |
| Not Available |
| Full Name | Bryce Heiner, Dmd, Md, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2103 Telshor Ct, Las Cruces, New Mexico |
| Authorized Official Name and Position | Bryce Heiner (CEO) |
| Authorized Official Contact | 5755228800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Heiner, Dmd, Md, Llc 2103 Telshor Ct Las Cruces NM 88011-8245 Ph: (575) 522-8800 | Bryce Heiner, Dmd, Md, Llc 2103 Telshor Ct Las Cruces NM 88011-8245 Ph: (575) 522-8800 |
| NPI Number | 1386955888 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 05/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386955888 | NPI | - | NPPES |
| 1386955888 | Other | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | DD3068 (New Mexico) | Secondary |
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