Mark Heideman, D.D.S.
NPI 1891851358 · Dentist · Shawano, WI
Mark Heideman, D.D.S. is a Dentist provider in Shawano, WI (NPI 1891851358).
Provider details
- NPI number
- 1891851358
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2270 (WI)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-29
- 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.