Dr. Jason Ira Heideman, DDS
Dentist, General Practice in Tamarac, FL. Individual provider (NPI-1).
NPI number1164098802
StatusActive
Last updated in NPPESJun 21, 2023
Details
- NPI
- 1164098802
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Ira Heideman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 8, 2023
- Last updated
- Jun 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN26992 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6268 North University DriveTamarac, FL 33321
Phone 732-947-8445
Mailing address
4020 N Hills Dr Apt 39Hollywood, FL 33021-2447
Phone 732-947-8445
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All 39 General Practice Dentistry providers in Tamarac · All 1,820 providers in Tamarac
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