Provider Demographics
NPI:1023273299
Name:HECKMAN, JULIE JONES (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:JONES
Last Name:HECKMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1523 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-9767
Mailing Address - Country:US
Mailing Address - Phone:937-335-4630
Mailing Address - Fax:937-335-5174
Practice Address - Street 1:1523 N MARKET ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-9767
Practice Address - Country:US
Practice Address - Phone:937-335-4630
Practice Address - Fax:937-335-5174
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022788122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist