Provider Demographics
NPI:1962585265
Name:HECK, JAMES DAVID (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:HECK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1638 W SMITH VALLEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1550
Mailing Address - Country:US
Mailing Address - Phone:317-881-4726
Mailing Address - Fax:317-889-1853
Practice Address - Street 1:1638 W SMITH VALLEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1550
Practice Address - Country:US
Practice Address - Phone:317-881-4726
Practice Address - Fax:317-889-1853
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120093551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice