Provider Demographics
NPI:1730811910
Name:HEITMAN, MAKINZEE KATHERINE (DDS)
Entity type:Individual
Prefix:DR
First Name:MAKINZEE
Middle Name:KATHERINE
Last Name:HEITMAN
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 1:9812 ENCHANTMENT AVE NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8822
Mailing Address - Country:US
Mailing Address - Phone:509-385-9489
Mailing Address - Fax:
Practice Address - Street 1:3100 NW BUCKLIN HILL RD STE 202
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8362
Practice Address - Country:US
Practice Address - Phone:360-377-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612853581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice