Healthcare Provider Details

I. General information

NPI: 1326557729
Provider Name (Legal Business Name): HEATHER HESSHEIMER RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 09/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 EAST CAMPUS LOOP SOUTH UNMC COLLEGE OF DENTISTRY
LINCOLN NE
68583
US

IV. Provider business mailing address

1020 SCENIC LN
LINCOLN NE
68505-2128
US

V. Phone/Fax

Practice location:
  • Phone: 402-472-1957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1905
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: