MEDICARE: DR. MARK ALLEN HEISS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019018344	IL

General Provider Information

NPI Number	:	1326314261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK ALLEN HEISS D.D.S.

Provider Business Mailing Address
First Line	:	5424 PROMONTORY DR.
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5061
Country	:	US
Telephone Number	:	708-856-2710
Fax Number	:

Provider Business Practice Location Address
First Line	:	5424 PROMONTORY DR.
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5061
Country	:	US
Telephone Number	:	708-856-2710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2012
Last Update Date	:	03/26/2012

Similar Medicare Providers

1770843633 — LONG BEACH QUEST DIALYSIS CENTER
Practice Location Address:

3140 LONG BEACH BLVD
LONG BEACH, CA
90807-5061

Practice Phone: 562-988-8866
Practice Fax:

1316511397 — SPARKS DIALYSIS LLC
Practice Location Address:

3140 LONG BEACH BLVD
LONG BEACH, CA
90807-5061

Practice Phone: 562-988-8866
Practice Fax:

1881616571 — GARFIELD BEACH CVS LLC
Practice Location Address:

7505 LAGUNA BLVD
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-585-7658

1306131271 — DOUG LAM
Practice Location Address:

7505 LAGUNA BLVD , T1025
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-683-2936

1891082855 — KIMBERLY E UYEDA PHARM.D.
Practice Location Address:

7505 LAGUNA BLVD , T-1025
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-2936
Practice Fax: 916-683-2936

1356863930 — LUXOTTICA RETAIL NORTH AMERICA, INC
Practice Location Address:

7505 LAGUNA BLVD
ELK GROVE, CA
95758-5061

Practice Phone: 916-683-5364
Practice Fax:

Directions to “ DR. MARK ALLEN HEISS D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.