Provider Demographics
NPI:1518056605
Name:HEDDENS, HEATHER B (DDS)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:B
Last Name:HEDDENS
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 530
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-0530
Mailing Address - Country:US
Mailing Address - Phone:319-653-2201
Mailing Address - Fax:319-653-5548
Practice Address - Street 1:1004 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-2149
Practice Address - Country:US
Practice Address - Phone:319-653-2201
Practice Address - Fax:319-653-5548
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA065641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice