Provider Demographics
NPI:1528182474
Name:LAWRENCE J. HEPPNER DDS, INC.
Entity Type:Organization
Organization Name:LAWRENCE J. HEPPNER DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HEPPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-232-2654
Mailing Address - Street 1:7200 PADDISON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2370
Mailing Address - Country:US
Mailing Address - Phone:513-232-2654
Mailing Address - Fax:513-232-3314
Practice Address - Street 1:7200 PADDISON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2370
Practice Address - Country:US
Practice Address - Phone:513-232-2654
Practice Address - Fax:513-232-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental