Provider Demographics
NPI:1538270681
Name:RAY W HECKMANN DDS INC
Entity type:Organization
Organization Name:RAY W HECKMANN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-327-3184
Mailing Address - Street 1:3427 BEE CAVES ROAD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6694
Mailing Address - Country:US
Mailing Address - Phone:512-327-3184
Mailing Address - Fax:512-327-6802
Practice Address - Street 1:3427 BEE CAVES ROAD
Practice Address - Street 2:SUITE B2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6694
Practice Address - Country:US
Practice Address - Phone:512-327-3184
Practice Address - Fax:512-327-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty