Individual provider · Type 1 NPI

William W. Heitzman

Dental Therapist · Shakopee, MN

NPI number 1134564552 Active

Practice location

415 1st Ave E
Shakopee, MN 55379-1439

Fax (952) 403-5969

Other practice locations

  • 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 · (612) 659-4908

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000XDT18 (MN)

Dental Therapist: 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 therap…

3 other providers at this address

About NPI 1134564552

William W. Heitzman's National Provider Identifier is 1134564552, issued on Apr 30, 2013. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 21, 2022.