| Diane J. Heckley Pc | |
|
230 N Morton St Bloomington IN 47404-3964 | |
| (812) 323-9970 | |
| (812) 323-9961 |
| Full Name | Diane J. Heckley Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 N Morton St, Bloomington, Indiana |
| Authorized Official Name and Position | Diane J Heckley (DENTIST OWNER) |
| Authorized Official Contact | 8123239970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane J. Heckley Pc Po Box 1150 Bloomington IN 47402-1150 Ph: (812) 323-9970 | Diane J. Heckley Pc 230 N Morton St Bloomington IN 47404-3964 Ph: (812) 323-9970 |
| NPI Number | 1871712679 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871712679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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