NPI 1861594301 · live from the CMS NPI Registry
A. Stephen Heller, DMD, A Professional Corporation
Dentist, Endodontics in Laguna Hills, CA. National Provider Identifier 1861594301, active.
NPI record
| NPI | 1861594301 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 24953 Paseo De Valencia, Suite 18c, Laguna Hills, CA 92653 |
| Practice phone | 949-830-4270 |
| Enumerated | September 4, 2006 |
| Last updated | June 4, 2014 |
| Authorized official | A. Heller, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Periodontics | 1223P0300X | 25263 (CA) |
| Dentist, Endodontics primary | 1223E0200X | D25263 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.