IndividualActive
John Van Heukelom, DDS MS
NPI 1891771960 · Oral and Maxillofacial Surgery (Dentist) · Cedar Rapids, IA
Provider details
- NPI number
- 1891771960
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS MS
- Sex
- Male
- License
- 06239 (IA)
Specialties & taxonomies
Dental Providers
Practice location
835 3rd Ave Se
Cedar Rapids, IA 52403-2407
Phone: (319) 365-8441
Fax: (319) 365-0480
Approximate (ZIP-level) locationGet directions
Mailing address
835 3rd Ave Se
Cedar Rapids, IA 52403-2407
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.