Individual provider · Type 1 NPI

John R. Van Heukelom, DDS MS

Oral and Maxillofacial Surgery (Dentist) · Cedar Rapids, IA

NPI number 1891771960 Active

Practice location

835 3rd Ave SE
Cedar Rapids, IA 52403-2407

Call (319) 365-8441 Map

Fax (319) 365-0480

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X06239 (IA)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1891771960

John R. Van Heukelom, DDS MS's National Provider Identifier is 1891771960, issued on Dec 20, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jul 13, 2026.