Provider Demographics
NPI:1134348204
Name:HELTZEL, JAMES M (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:HELTZEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6016
Mailing Address - Country:US
Mailing Address - Phone:702-733-7244
Mailing Address - Fax:702-733-8416
Practice Address - Street 1:4312 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6016
Practice Address - Country:US
Practice Address - Phone:702-733-7244
Practice Address - Fax:702-733-8416
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice