Provider Demographics
NPI:1639307564
Name:HECKMAN, MARY E (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:HECKMAN
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 1436
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KS
Mailing Address - Zip Code:67301-1436
Mailing Address - Country:US
Mailing Address - Phone:913-707-3238
Mailing Address - Fax:620-331-3587
Practice Address - Street 1:422 E MAIN ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KS
Practice Address - Zip Code:67301-3716
Practice Address - Country:US
Practice Address - Phone:620-331-3580
Practice Address - Fax:620-331-3587
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist