Provider Demographics
NPI:1336150408
Name:HEUER, TROY ALEXANDER SR (DMD)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:ALEXANDER
Last Name:HEUER
Suffix:SR
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 1:3193 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525
Mailing Address - Country:US
Mailing Address - Phone:610-754-7000
Mailing Address - Fax:610-754-9322
Practice Address - Street 1:3193 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525
Practice Address - Country:US
Practice Address - Phone:610-754-7000
Practice Address - Fax:610-754-9322
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS027182L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist