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Dr. Peter J. Heath, DDS,MD
Oral & Maxillofacial Surgery (D.M.D.) in Mishawaka, Indiana
NPI 1396738746

Peter J. Heath is a Oral & Maxillofacial Surgery (D.M.D.) based in Mishawaka, IN. Peter J. Heath practices in Mishawaka, IN and has the professional credentials of DDS,MD. The NPI Number for Peter J. Heath is 1396738746 and holds a License No. 9545 (Indiana).

The current practice location address for Peter J. Heath is 270 E Day Rd, Mishawaka, IN and can be reached out via phone at 574-272-8823 and via fax at 574-277-1837.

Location: 270 E Day Rd, Mishawaka, IN, 46545-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396738746
Provider Name
Peter J. Heath
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
270 E Day Rd, Mishawaka, IN, 46545-3444
Phone Number
574-272-8823
Fax Number
574-277-1837
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01063978A 01 IN IN MEDICAL LICENSE
200870900 05 IN
2503 01 NH DENTAL LICENSE (INACTIVE)
9545 01 MD DENTAL LICENSE
12011044A 01 IN IN DENTAL LICENSE
12434R 01 LA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
270 E Day Rd
City
Mishawaka
State
Indiana
Zip
46545-3444
Phone Number
574-272-8823
Fax Number
574-277-1837
person
Provider Business Mailing Address Details
Address
270 E Day Rd
City
Mishawaka
State
Indiana
Zip
46545-3444
Phone Number
574-272-8823
Fax Number
574-277-1837
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2503 (New Hampshire)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
9545 (Maryland)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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