Whalio Doctors

NPI 1679928188

Benjamin Charles Heffter, DDS

Practitioner General Practice Dentistry Jackson, WI

Practice location

Address
N168w20060 Main St, Jackson, WI 53037-9380
Phone
(262) 677-3003
Mailing address
2640 N 83rd St, Wauwatosa, WI 53213-1029

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 1001319-15 (WI)

Registry record

NPI
1679928188
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2016
Record last updated
17 Jul 2019

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.