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MERCEDES A HEITMAN DDS
NPI 1669550869
Dentist - Periodontics in Petaluma, CA

Active since November 02, 2006
1416 PROFESSIONAL DR, SUITE 202, PETALUMA, CA 94954(707) 769-1162(707) 769-9687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mercedes A Heitman Dds NPPES

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

MERCEDES A HEITMAN DDS (NPI 1669550869) is an individual periodontics provider in Petaluma, California, licensed in California (31077) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669550869
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMERCEDES A HEITMANCredential: DDS
Location Address1416 PROFESSIONAL DR, SUITE 202Petaluma, CA 94954
Mailing Address1416 Professional Dr, Suite 202Petaluma, CA 94954 · (707) 769-1162 · Fax (707) 769-9687
Phone(707) 769-1162
Fax(707) 769-9687
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669550869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 31077
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1416 PROFESSIONAL DR, Petaluma, CA 94954
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Other Providers at the Same Location NPPES

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

DR. VON CHAN D.D.S., INC
Dentist (General Practice)
1416 PROFESSIONAL DR, STE. #201
PETALUMA, CA 94954
Sonoma County (707) 763-2682

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 Mercedes Heitman's NPI number?

The NPI number for Mercedes Heitman is 1669550869. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mercedes Heitman located?

Mercedes Heitman practices at 1416 Professional Dr Suite 202, Petaluma, CA 94954. The listed phone number is (707) 769-1162.

What is Mercedes Heitman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mercedes Heitman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.