Provider Demographics
NPI:1043334964
Name:HEILMAN, F ALLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:F ALLAN
Middle Name:
Last Name:HEILMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 W BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1937
Mailing Address - Country:US
Mailing Address - Phone:727-584-7664
Mailing Address - Fax:
Practice Address - Street 1:2600 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1937
Practice Address - Country:US
Practice Address - Phone:727-584-7664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 4837122300000X
TNDS 1873122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist