Provider Demographics
NPI:1750475182
Name:HECK, ROBERT ELDON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELDON
Last Name:HECK
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 1:112 S. TRYON ST.
Mailing Address - Street 2:SUITE 650
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28284-2101
Mailing Address - Country:US
Mailing Address - Phone:704-375-0050
Mailing Address - Fax:704-375-5391
Practice Address - Street 1:112 S. TRYON ST.
Practice Address - Street 2:SUITE 650
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28284-2101
Practice Address - Country:US
Practice Address - Phone:704-375-0050
Practice Address - Fax:704-375-5391
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice