IndividualActive
Dwight Heberer, D.M.D.
NPI 1083786909 · Customized Equipment (DME) · Waterloo, IL
Provider details
- NPI number
- 1083786909
- Entity type
- Individual
- Primary specialty
- Customized Equipment (DME)Suppliers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019020320 (IL)
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-2123
Phone: (618) 939-4042
Fax: (618) 939-5404
Mailing address
16 Bass Ln
Belleville, IL 62223-7626
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2017-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.