Provider Demographics
NPI:1891870721
Name:PECHTER, HEIDI ROCHELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ROCHELLE
Last Name:PECHTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 HARBOUR POST DR
Mailing Address - Street 2:2105
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-6756
Mailing Address - Country:US
Mailing Address - Phone:813-227-9833
Mailing Address - Fax:
Practice Address - Street 1:1620 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594
Practice Address - Country:US
Practice Address - Phone:813-681-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN165881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice