Whalio Doctors

NPI 1396738746

Peter J. Heath, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Mishawaka, IN

Practice location

Address
270 E Day Rd Suite 260, Mishawaka, IN 46545-3444
Phone
(574) 272-8823
Fax
(574) 277-1837

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 12434R (LA)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 9545 (MD)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 2503 (NH)

Registry record

NPI
1396738746
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2005
Record last updated
29 Sep 2015

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.