Provider Demographics
NPI:1124674130
Name:VINCENT H. HEAPS, DDS
Entity type:Organization
Organization Name:VINCENT H. HEAPS, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:HEAPS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-684-4666
Mailing Address - Street 1:543 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1225
Mailing Address - Country:US
Mailing Address - Phone:717-684-4666
Mailing Address - Fax:
Practice Address - Street 1:543 LOCUST ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1225
Practice Address - Country:US
Practice Address - Phone:717-684-4666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental