| Kevin M. Heaney, D.d.s. | |
|
261 Summit Ave Hackensack NJ 07601-1431 | |
| (201) 487-4008 | |
| (201) 996-1055 |
| Full Name | Kevin M. Heaney, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 261 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Kevin M Heaney (DENTIST) |
| Authorized Official Contact | 2014874008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M. Heaney, D.d.s. 261 Summit Ave Hackensack NJ 07601-1431 Ph: (201) 487-4008 | Kevin M. Heaney, D.d.s. 261 Summit Ave Hackensack NJ 07601-1431 Ph: (201) 487-4008 |
| NPI Number | 1649772062 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 7012279144 |
|---|---|
| Medicare Enrollment ID | O20180329000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649772062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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