NPI 1003031824

Gary David Heitzler, DDS

Practitioner Pediatric Dentistry Hastings on Hudson, NY

Practice location

Address: 615 Broadway, Hastings on Hudson, NY 10706-1039
Phone: (914) 478-8585
Fax: (914) 478-5797

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 044619 (NY)

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Registry record

NPI: 1003031824
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.