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William W Heitzman
Dental Therapist in Shakopee, Minnesota
NPI 1134564552

William W Heitzman is a Dental Therapist based in Shakopee, MN. William W Heitzman practices in Shakopee, MN. The NPI Number for William W Heitzman is 1134564552 and holds a License No. DT18 (Minnesota).

The current practice location address for William W Heitzman is 415 1St Ave E, Shakopee, MN and can be reached out via phone at 952-403-5149 and via fax at 952-403-5969. You can also correspond with William W Heitzman through the mailing address at 415 1ST AVE E, SHAKOPEE, MN - 55379-1439 (mailing address contact number: 952-403-5149).

Location: 415 1St Ave E, Shakopee, MN, 55379-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134564552
Provider Name
William W Heitzman
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 1St Ave E, Shakopee, MN, 55379-1439
Phone Number
952-403-5149
Fax Number
952-403-5969
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 1St Ave E
City
Shakopee
State
Minnesota
Zip
55379-1439
Phone Number
952-403-5149
Fax Number
952-403-5969
person
Provider Business Mailing Address Details
Address
415 1St Ave E
City
Shakopee
State
Minnesota
Zip
55379-1439
Phone Number
952-403-5149
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT18 (Minnesota)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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