MEDICARE: MRS. CAREY MARIE HEIN DDS

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	1223E0200X	Endodontics	021806	OH

General Provider Information

NPI Number	:	1952513509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAREY MARIE HEIN DDS

Provider Business Mailing Address
First Line	:	7533 STATE ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-2438
Country	:	US
Telephone Number	:	513-232-6660
Fax Number	:	513-232-6670

Provider Business Practice Location Address
First Line	:	7533 STATE ROAD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-2438
Country	:	US
Telephone Number	:	513-232-6660
Fax Number	:	513-232-6670

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/08/2007

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