Heather Isom, is a
Dental Hygienist based in Ft. Benning, Georgia. Heather Isom is licensed to practice in Georgia (license number DH012267) and her current practice location is
7101 Hoff St, Bldg 9240, Ft. Benning, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 544-1148.
NPI number for Heather Isom is 1578912960 and her current mailing address is 3921 Ashmore Dr, Columbus, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578912960.
Provider's Profile
Full Name | Heather Isom |
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Gender | Female |
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Speciality | Dental Hygienist |
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Location | 7101 Hoff St, Ft. Benning, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578912960
- Provider Enumeration Date: 06/07/2016
- Last Update Date: 07/28/2021
Medical Identifiers
Medical identifiers for Heather Isom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578912960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN284749 (Georgia) | Secondary |
124Q00000X | Dental Hygienist | DH012267 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Isom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heather Isom, 3921 Ashmore Dr, Columbus, GA 31909-3809 Ph: (706) 570-3797 | Heather Isom, 7101 Hoff St, Bldg 9240, Ft. Benning, GA 31905 Ph: (706) 544-1148 |
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