Provider Demographics
NPI:1326364092
Name:HECK, CHRISTOPHER FORREST (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FORREST
Last Name:HECK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7647
Mailing Address - Country:US
Mailing Address - Phone:513-794-1884
Mailing Address - Fax:513-794-1885
Practice Address - Street 1:9370 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7647
Practice Address - Country:US
Practice Address - Phone:513-794-1884
Practice Address - Fax:513-794-1885
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0233761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice