Healthcare Provider Details

I. General information

NPI: 1689724312
Provider Name (Legal Business Name): KARL V HEUER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 S MAIN ST
ALBION NY
14411-1602
US

IV. Provider business mailing address

313 S MAIN ST
ALBION NY
14411-1602
US

V. Phone/Fax

Practice location:
  • Phone: 585-589-4325
  • Fax:
Mailing address:
  • Phone: 585-589-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number031653
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: