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NPI Code Detail

MEDICARE: DR. HEATHER WOEHRMYER D.D.S

MEDICARE:  DR. HEATHER  WOEHRMYER  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
1122300000XDentist30.24738OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130.24738OTHEROHOHIO DENTAL BOARD

General Provider Information

NPI Number : 1508212051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER WOEHRMYER D.D.S
Provider Business Mailing Address
First Line : 86 S HANOVER ST
Second Line :
City : MINSTER
State : OH
Zip : 45865-1234
Country : US
Telephone Number : 937-638-0445
Fax Number :
Provider Business Practice Location Address
First Line : 550 MOTE DR
Second Line :
City : COVINGTON
State : OH
Zip : 45318-1273
Country : US
Telephone Number : 937-473-2755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2016
Last Update Date : 05/13/2016

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Directions to “ DR. HEATHER WOEHRMYER D.D.S” Practice Location

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