Provider Demographics
NPI:1144437021
Name:GOEPP-SCHURMAN, HEIDI M (DDS)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:M
Last Name:GOEPP-SCHURMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WESTOWN PKWY
Mailing Address - Street 2:ST #207
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1540
Mailing Address - Country:US
Mailing Address - Phone:515-221-2228
Mailing Address - Fax:515-221-1968
Practice Address - Street 1:2001 WESTOWN PKWY
Practice Address - Street 2:ST #207
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1540
Practice Address - Country:US
Practice Address - Phone:515-221-2228
Practice Address - Fax:515-221-1968
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL77871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice