Heil, Edgar Adam
Heil, Edgar Adam is an individual health care provider with primary practice located at 514 W Main St , Norwich CT 06360-5321. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Heil, Edgar Adam can be contacted via phone (860) 889-5166.Contact Information
Primary practice address
514 W Main St
Norwich CT 06360-5321
Phone: (860) 889-5166
Fax: (860) 887-8254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20664 | Massachusetts |
| Dental Providers / Dentist | 122300000X | 009806 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 9806 | Connecticut |
Profile Details
| NPI number | 1164406443 |
|---|---|
| LBN Legal business name | Heil, Edgar Adam |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Apr 15th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164406443 | NPPES |
| Connecticut | MEDICAID | 004236354 |
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