Provider Demographics
NPI:1124280185
Name:HEUBNER, NATHAN MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:MICHAEL
Last Name:HEUBNER
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 1:700 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5043
Mailing Address - Country:US
Mailing Address - Phone:319-752-1840
Mailing Address - Fax:
Practice Address - Street 1:700 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5043
Practice Address - Country:US
Practice Address - Phone:319-752-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA08566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist