Provider Demographics
NPI:1861830309
Name:HEIM, ERIC PETER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PETER
Last Name:HEIM
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 1:403 JOHN K DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-9308
Mailing Address - Country:US
Mailing Address - Phone:989-385-0973
Mailing Address - Fax:
Practice Address - Street 1:5545 COLONY DR N STE 1
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-7188
Practice Address - Country:US
Practice Address - Phone:989-385-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020911122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist