HEINERY AREVALO DMD NPI 1295465565

NPI Information

NPI: 1295465565
Provider Name: HEINERY AREVALO, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
6100 WASHINGTON AVE STE F2
MOUNT PLEASANT, WI
ZIP 53406
Phone: (262) 999-9998
Get Directions

Heinery Arevalo, DMD is a general practice dentist in Mount Pleasant, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Heinery Arevalo, DMD NPI is 1295465565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6100 WASHINGTON AVE STE F2
MOUNT PLEASANT, WI
ZIP 53406-000
Phone: (262) 999-9998

The enumeration date for this NPI number is 6/10/2022 and was last updated on 12/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019.033683	ILLINOIS	No
2	1223G0001X	Dentist	General Practice	6001069-15	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100216253	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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