Provider Demographics
NPI:1609979582
Name:HECKLER, THOMAS P (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:HECKLER
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 1:1337 N CABLE RD
Mailing Address - Street 2:STE B
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805
Mailing Address - Country:US
Mailing Address - Phone:419-228-8929
Mailing Address - Fax:419-228-0388
Practice Address - Street 1:1337 N CABLE RD
Practice Address - Street 2:STE B
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805
Practice Address - Country:US
Practice Address - Phone:419-228-8929
Practice Address - Fax:419-228-0388
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300144351223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics