Gary David Heitzler
Pediatric Dentist
615 Broadway
Hastings On Hudson
, New York 10706-1039
Gary David Heitzler
Pediatric Dentist
615 Broadway
Hastings On Hudson
, New York 10706-1039
(914) 478-5797
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Gary David Heitzler
- 615 Broadway
- Hastings On Hudson, NY
- Zip : 10706-1039
- Fax : (914) 478-5797
- Phone : (914) 478-8585
Second Address
- Gary David Heitzler
- 615 Broadway
- Hastings On Hudson, NY
- Zip : 10706-1039
- Fax : (914) 478-5797
- Phone : (914) 478-8585
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Is Gary David Heitzler a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 044619 | NY |
National Provider Identifier
| NPI | 1003031824 |
|---|---|
| Provider Name | Gary David Heitzler |
| First Address | Hastings On Hudson, NY 10706-1039 |
| Second Address | Hastings On Hudson, NY 10706-1039 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2007 |
| Last Update Date | 08/07/2007 |
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.