Provider Demographics
NPI:1356918866
Name:HELLER, ZACHARY AARON (DO, DMD)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:AARON
Last Name:HELLER
Suffix:
Gender:M
Credentials:DO, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 W HARDING ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3990
Mailing Address - Country:US
Mailing Address - Phone:727-204-7203
Mailing Address - Fax:
Practice Address - Street 1:17365 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-6715
Practice Address - Country:US
Practice Address - Phone:352-270-3015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN1633181223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery