DR. PETER J. HEATH


Address: 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444
Phone: 5742728823

DR. PETER J. HEATH (NPI# 1396738746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396738746
Entity Type Individual
Full Name DR. PETER J. HEATH
Credential D.D.S., M.D.
Practice Address 270 E Day Rd
Suite 260
Mishawaka
IN 46545-3444
Practice Telephone 5742728823
Practice Fax Number 5742771837
Mailing Telephone 5742728823
Mailing Fax Number 5742771837
Enumeration Date 2005-08-31
Last Update Date 2015-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
2503 NH Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
9545 MD Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery 12434R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NH DENTAL LICENSE (INACTIVE) 2503 01
IN IN DENTAL LICENSE 12011044A 01
LA MEDICAL LICENSE 12434R 01
IN 200870900 05
MD DENTAL LICENSE 9545 01
IN IN MEDICAL LICENSE 01063978A 01

Office Location

Street Address 270 E DAY RD
SUITE 260
City MISHAWAKA
State IN
Zip Code 46545-3444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134129919 Jena M Corban Nurse Practitioner 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 2005-07-22
1447798939 Center for Minimally Invasive Spinecare, Inc Orthopaedic Surgery 270 E Day Rd, Suite #200, Mishawaka, IN 46545-3444 2017-02-06
1235454950 Edward Charles Collins IIi Dentist 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 2010-04-06
1881887065 Edison Lakes Oral Surgery, P.C. Clinic/Center 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 2007-08-22
1649460619 Saurabh R Joneja Preventive Medicine 270 E Day Rd, Suite 270, Mishawaka, IN 46545-3444 2007-07-26
1699713321 Russell Matthew Linman Dentist 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 2006-06-03
1225089469 Neurology and Pain Management Internal Medicine 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 2006-05-12
1578558458 Mishawaka Orthopedics and Sports Medicine P C Orthopaedic Surgery 270 E Day Rd, Ste 200, Mishawaka, IN 46545-3444 2005-09-15
1881689834 Charles Mcdonald Ware Jr. Orthopaedic Surgery 270 E Day Rd, Ste 200, Mishawaka, IN 46545-3444 2005-09-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295041093 Central Indiana Oral Surgery and Implantology Oral & Maxillofacial Surgery 272 Medical Dr., Carmel, IN 46032 2010-08-31
1386762318 Bloomington Oral & Maxillofacial Surgery Group Oral & Maxillofacial Surgery 637 S Walker Street, Suite 1, Bloomington, IN 47403-2154 2007-03-27
1083757355 Carrie A. Klene Oral & Maxillofacial Surgery 715 W Carmel Dr Ste 102, Carmel, IN 46032-5881 2007-02-15
1689743809 Rodney P Swantko Oral & Maxillofacial Surgery 9250 Columbia Avenue, Suite D 1, Munster, IN 46321 2006-11-06
1114007838 Micheal J Deady Dds Inc Oral & Maxillofacial Surgery 1630 Poplar St, Terre Haute, IN 47807 2006-10-17
1134213796 Tristan Vaun Stonger Oral & Maxillofacial Surgery 1 S Broadway, Peru, IN 46970-2231 2006-10-03
1558789891 William Gardner Moll Oral & Maxillofacial Surgery 601 W Us Highway 30, Schererville, IN 46375-2656 2014-04-03
1205998739 John Craig Cook Oral & Maxillofacial Surgery 1919 State St, Ste 407, New Albany, IN 47150 2006-12-14
1831264324 Oral & Maxillofacial Surgery Associates PC Oral & Maxillofacial Surgery 7845 Carnegie Blvd, Fort Wayne, IN 46804 2006-11-21
1366512972 Michael Joseph Deady Oral & Maxillofacial Surgery 1630 Poplar St, Terre Haute, IN 47807 2006-11-09
Find all providers with the same taxonomy

Competitor

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City MISHAWAKA
Zip Code 46545

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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