Provider Demographics
NPI:1033216411
Name:LAMERE-HECK, BARBARA A (DDS)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:LAMERE-HECK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:GOSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47433-0189
Mailing Address - Country:US
Mailing Address - Phone:812-879-4216
Mailing Address - Fax:812-879-4286
Practice Address - Street 1:10 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:GOSPORT
Practice Address - State:IN
Practice Address - Zip Code:47433-0189
Practice Address - Country:US
Practice Address - Phone:812-879-4216
Practice Address - Fax:812-879-4286
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist