SearchMinnesotaDental Therapist

William Heitzman

NPI 1134564552 · on the registry since 2013

Practice

Address
415 1st Ave E
Shakopee, MN 55379
Phone
(952) 403-5149
Fax
(952) 403-5969
Organisation at this address
Shakopee Valley Family Dental Care, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 701 25th Ave S Ste 400, Minneapolis, MN

Registry record

Primary taxonomy
Dental Therapist
125J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota