DR. MATTHEW JOSEPH HEINZ DDS MD NPI 1972129427

NPI Information

  • NPI: 1972129427
  • Provider Name: DR. MATTHEW JOSEPH HEINZ, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 312 CENTER ST
    LAKE GENEVA, WI
    ZIP 53147
  • Phone: (262) 248-8766

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NPI Details

DR. Matthew Joseph Heinz, DDS, MD is an oral and maxillofacial surgery dentist in Lake Geneva, WI. 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. Matthew Joseph Heinz, DDS, MD NPI is 1972129427. 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:

312 CENTER ST
LAKE GENEVA, WI
ZIP 53147-904
Phone: (262) 248-8766

The NPI 1972129427 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).

The enumeration date for this NPI number is 6/21/2020 and was last updated on 8/6/2025.

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
11223G0001XDentistGeneral Practice105787CALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery019.035975ILLINOISYes

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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