Provider Demographics
NPI:1871943233
Name:HECK, HANNA (DMD)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:HECK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 JOHN STREET
Mailing Address - Street 2:SUITE #530
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-0077
Mailing Address - Country:US
Mailing Address - Phone:212-619-7899
Mailing Address - Fax:
Practice Address - Street 1:111 JOHN STREET
Practice Address - Street 2:SUITE #530
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-619-7899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857388122300000X
NJ22DI027371001223E0200X
NY059981-11223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist