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WILLIAM W HEITZMAN
NPI 1134564552
Dental Therapist in Shakopee, MN

Active since April 30, 2013
415 1ST AVE E, SHAKOPEE, MN 55379(952) 403-5149(952) 403-5969 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 21, 2017 (3 updates tracked since 2017).

About William W Heitzman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM W HEITZMAN (NPI 1134564552) is an individual dental therapist in Shakopee, Minnesota, licensed in Minnesota (DT18) and active in the NPI registry since April 2013. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1134564552
Entity TypeIndividualMale
Primary Taxonomy125J00000X
Provider Legal NameWILLIAM W HEITZMAN
Location Address415 1ST AVE EShakopee, MN 55379-1439
Mailing Address415 1st Ave EShakopee, MN 55379-1439 · (952) 403-5149
Phone(952) 403-5149
Fax(952) 403-5969
Sole ProprietorNo
Enumeration DateApril 30, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1134564552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT18
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
415 1ST AVE E, Shakopee, MN 55379
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Secondary Practice Location 1

Location 1701 25th Ave S Ste 400Minneapolis, MN 55454-1443 · Phone (612) 659-4908

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY FISCHER ADT
Advanced Practice Dental Therapist
415 1ST AVE E
SHAKOPEE, MN 55379
Scott County (952) 403-5149
SHAKOPEE VALLEY FAMILY DENTAL CARE, P.A.
Clinic/Center (Dental)
415 1ST AVE E
SHAKOPEE, MN 55379
Scott County (952) 445-5510
DR. ALAN CHARLES PERRY DDS
Dentist (General Practice)
415 1ST AVE E
SHAKOPEE, MN 55379
Scott County (952) 445-5510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Heitzman's NPI number?

The NPI number for William Heitzman is 1134564552. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is William Heitzman located?

William Heitzman practices at 415 1st Ave E, Shakopee, MN 55379. The listed phone number is (952) 403-5149.

What is William Heitzman's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for William Heitzman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.