Provider Demographics
NPI:1508300757
Name:WILLIAM J. HEFELE, DDS
Entity Type:Organization
Organization Name:WILLIAM J. HEFELE, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HEFELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-798-8019
Mailing Address - Street 1:200 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-2049
Mailing Address - Country:US
Mailing Address - Phone:804-798-8019
Mailing Address - Fax:
Practice Address - Street 1:200 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2049
Practice Address - Country:US
Practice Address - Phone:804-798-8019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty