Dr. Peter J. Heath
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
270 E Day Rd Suite 260
Mishawaka
, Indiana 46545-3444
Dr. Peter J. Heath
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
270 E Day Rd Suite 260
Mishawaka
, Indiana 46545-3444
(574) 277-1837
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter J. Heath
- 270 E Day Rd Suite 260
- Mishawaka, IN
- Zip : 46545-3444
- Fax : (574) 277-1837
- Phone : (574) 272-8823
Second Address
- Dr. Peter J. Heath
- 270 E Day Rd Suite 260
- Mishawaka, IN
- Zip : 46545-3444
- Fax : (574) 277-1837
- Phone : (574) 272-8823
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2503 | NH |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 9545 | MD |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 12434R | LA |
National Provider Identifier
| NPI | 1396738746 |
|---|---|
| Provider Name | Dr. Peter J. Heath |
| First Address | Mishawaka, IN 46545-3444 |
| Second Address | Mishawaka, IN 46545-3444 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2005 |
| Last Update Date | 29/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01063978A | IN MEDICAL LICENSE (01) | IN |
| 12011044A | IN DENTAL LICENSE (01) | IN |
| 12434R | MEDICAL LICENSE (01) | LA |
| 200870900 | (05) | IN |
| 2503 | DENTAL LICENSE (INACTIVE) (01) | NH |
| 9545 | DENTAL LICENSE (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.