MEDICARE: HEIL DENTAL ARTS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6759	CO

General Provider Information

NPI Number	:	1174504542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIL DENTAL ARTS, P.C.

Provider Business Mailing Address
First Line	:	7919 ZENOBIA ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80030-4465
Country	:	US
Telephone Number	:	303-429-3115
Fax Number	:	303-426-9654

Provider Business Practice Location Address
First Line	:	7919 ZENOBIA ST
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80030-4465
Country	:	US
Telephone Number	:	303-429-3115
Fax Number	:	303-426-9654

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. BRIAN C. HEIL
Credential	:	D.D.S.
Telephone Number	:	303-429-3115

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	08/22/2020

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