MERCEDES A HEITMAN DDS NPI 1669550869

NPI Information

  • NPI: 1669550869
  • Provider Name: MERCEDES A HEITMAN, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 1416 PROFESSIONAL DR
    SUITE 202
    PETALUMA, CA
    ZIP 94954
  • Phone: (707) 769-1162

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NPI Details

Mercedes A Heitman, DDS is a periodontics dentist in Petaluma, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Mercedes A Heitman, DDS NPI is 1669550869. 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:

1416 PROFESSIONAL DR
SUITE 202
PETALUMA, CA
ZIP 94954
Phone: (707) 769-1162
Fax: (707) 769-9687

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics31077CALIFORNIAYes

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: 3/30/2025

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