Provider Demographics
NPI:1447592225
Name:HECKMANN, RAY WAYNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:WAYNE
Last Name:HECKMANN
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 1:3427 BEE CAVE RD
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6694
Mailing Address - Country:US
Mailing Address - Phone:512-327-3184
Mailing Address - Fax:512-327-6802
Practice Address - Street 1:3427 BEE CAVE RD
Practice Address - Street 2:SUITE B-2
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6694
Practice Address - Country:US
Practice Address - Phone:512-327-3184
Practice Address - Fax:512-327-6802
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist