DR. ROBERT DONALD HEINE DMD NPI 1629156005

NPI Information

  • NPI: 1629156005
  • Provider Name: DR. ROBERT DONALD HEINE, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2850 LONE OAK RD STE #5
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 554-2026

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NPI Details

DR. Robert Donald Heine, DMD is an oral and maxillofacial surgery dentist in Paducah, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Robert Donald Heine, DMD NPI is 1629156005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2850 LONE OAK RD STE #5
PADUCAH, KY
ZIP 42003-043
Phone: (270) 554-2026
Fax: (270) 554-9164

The NPI 1629156005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/14/2015.

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
1122300000XDentist5584KENTUCKYNo
2204E00000XOral & Maxillofacial Surgery5584KENTUCKYNo
31223S0112XDentistOral and Maxillofacial Surgery5584KENTUCKYYes

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
1T54139MEDICARE UPIN
21473601MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
360055845MEDICAIDKENTUCKY
464055841MEDICAIDKENTUCKY

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: 11/21/2025

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