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NPI 1487657193

NPI 1487657193 : RONALD GEORGE HEIBER DDS, MS : LANCASTER, OH

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General NPI Number Information
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    NPI Number           |    1487657193
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD GEORGE HEIBER DDS, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/27/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1011 E FAIR AVE 
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    City                 |    LANCASTER
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    State                |    OH
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    Zip                  |    43130-2746
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    Country              |    US
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    Telephone            |    740-654-6006
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    Fax                  |    740-654-6439
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Provider Business Mailing Address
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    Address Line         |    1011 E FAIR AVE 
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    City                 |    LANCASTER
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    State                |    OH
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    Zip                  |    43130-2746
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    Country              |    US
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    Telephone            |    740-654-6006
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    Fax                  |    740-654-6439
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    13887
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    369
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    License Number State |    CO
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