National Provider Identifier Database

PETER J HEATH, D.D.S., M.D. – NPI #1396738746
Oral & Maxillofacial Surgery

Contact Information

PETER J HEATH, D.D.S., M.D.
270 E DAY RD
SUITE 260
MISHAWAKA, IN  46545-3444
Phone: 574-272-8823
Fax: 574-277-1837
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for PETER J HEATH

NPI Number 1396738746
Credentials D.D.S., M.D.
Entity Individual
Enumeration date 08/31/2005
Last updated 09/29/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 12434R
  • MD License #: 9545
  • NH License #: 2503
  • IN Medicaid: 200870900
  • IN Other: 12011044A IN DENTAL LICENSE
  • IN Other: 01063978A IN MEDICAL LICENSE
  • LA Other: 12434R MEDICAL LICENSE
  • MD Other: 9545 DENTAL LICENSE
  • NH Other: 2503 DENTAL LICENSE (INACTIVE)
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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