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HERITAGE DENTAL LLC
NPI 1154574846
Dentist - General Practice in Waverly, IA

Active since October 28, 2008
1400 10TH AVE SW, WAVERLY, IA 50677(319) 352-5222(319) 352-5225 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Dental Llc NPPES

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

HERITAGE DENTAL LLC (NPI 1154574846), doing business as James M Maixner Dds, is a healthcare organization registered as a general practice in Waverly, Iowa and active in the NPI registry since October 2008. The organization lists James Michael Maixner, Manager, as its authorized official.

NPPES Registry Identity

NPI1154574846
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHERITAGE DENTAL LLC
Location Address1400 10TH AVE SWWaverly, IA 50677-3752
Mailing Address1400 10th Ave Sw, P.o. Box 854Waverly, IA 50677-3752 · (319) 352-5222 · Fax (319) 352-5225
Phone(319) 352-5222
Fax(319) 352-5225
Organization SubpartNo
Authorized OfficialJames Michael MaixnerManager · (319) 352-5222
Enumeration DateOctober 28, 2008
Last NPPES UpdateJuly 6, 2009
✔ NPI 1154574846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 06793
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1400 10TH AVE SW, Waverly, IA 50677
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Other Names 1

Former Legal Business NameJames M Maixner Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JUNYOUNG KIM
Dentist
1400 10TH AVE SW
WAVERLY, IA 50677
Bremer County (319) 352-5222
DR. BRYAN MICHAEL HORAK D.D.S.
Dentist
1400 10TH AVE SW
WAVERLY, IA 50677
Bremer County (319) 352-5222
DR. MATTHEW A MUELLER D.D.S.
Dentist
1400 10TH AVE SW
WAVERLY, IA 50677
Bremer County (319) 352-5222

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 Heritage Dental LLC's NPI number?

The NPI number for Heritage Dental LLC is 1154574846. It was assigned to this organization in the NPPES registry on October 28, 2008. The provider was formerly known as James M Maixner Dds.

Where is Heritage Dental LLC located?

Heritage Dental LLC is located at 1400 10th Ave SW, Waverly, IA 50677. The listed phone number is (319) 352-5222.

What is Heritage Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heritage Dental LLC was last updated on July 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.