Individual provider · Type 1 NPI
Dwight David Heberer, DMD
Customized Equipment (DME) · Waterloo, IL
NPI number
1083786909
Active
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-2123
Fax (618) 939-5404
Mailing address
16 Bass Ln
Belleville, IL 62223-7626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 019020320 (IL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 019020320 (IL) |
| Customized Equipment (DME) Primary | 332BC3200X | 019020320 (IL) |
Customized Equipment (DME): Definition to come...
3 other providers at this address
Other customized equipment (dme) providers in Waterloo
About NPI 1083786909
Dwight David Heberer, DMD's National Provider Identifier is 1083786909, issued on Nov 15, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Waterloo, IL. The record was last updated on Nov 21, 2017.