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Dr. Jason Ira Heideman, DDS
General Practice Dentistry in Tamarac, Florida
NPI 1164098802

Jason Ira Heideman is a General Practice Dentistry based in Hollywood, FL and is specialized in General Practice. Jason Ira Heideman practices in Tamarac, FL and has the professional credentials of DDS. The NPI Number for Jason Ira Heideman is 1164098802 and holds a License No. (Florida).

The current practice location address for Jason Ira Heideman is 6268 North University Drive, Tamarac, FL and can be reached out via phone at 732-947-8445.

Location: 6268 North University Drive, Tamarac, FL, 33021-2447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164098802
Provider Name
Jason Ira Heideman
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6268 North University Drive, Tamarac, FL, 33021-2447
Phone Number
732-947-8445
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6268 North University Drive
City
Tamarac
State
Florida
Zip
33321
Phone Number
732-947-8445
Fax Number
person
Provider Business Mailing Address Details
Address
6268 North University Drive
City
Tamarac
State
Florida
Zip
33321
Phone Number
732-947-8445
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN26992 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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