Healthcare Provider Details

I. General information

NPI: 1083287098
Provider Name (Legal Business Name): JOHN ANDREW HESKETT DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 ALLENTOWN RD
LIMA OH
45805-1845
US

IV. Provider business mailing address

380 E MAIN ST
HILLSBORO OH
45133-1546
US

V. Phone/Fax

Practice location:
  • Phone: 419-741-9903
  • Fax:
Mailing address:
  • Phone: 513-429-8372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03440868
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028436
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: