Healthcare Provider Details

I. General information

NPI: 1215951926
Provider Name (Legal Business Name): JOSEPH M. HEHER D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MT. HERMON RD.
SALISBURY MD
21804-5219
US

IV. Provider business mailing address

1301 MT. HERMON RD.
SALISBURY MD
21804-5219
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-0320
  • Fax: 410-749-5309
Mailing address:
  • Phone: 410-749-0320
  • Fax: 410-749-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4471
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: