Dwight David Heberer, D.M.D.

Customized Equipment (DME) · Waterloo, IL

Individual Active NPI

NPI number 1083786909

Practice location

226 Westview Plaza Dr.
Waterloo, IL 62298-2123
Phone
(618) 939-4042
Fax
(618) 939-5404

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NPI record

NPI
1083786909
Entity type
Individual (Type 1)
Enumeration date
November 15, 2006
Last updated
November 21, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Customized Equipment (DME) Primary 332BC3200X 019020320 IL
General Practice Dentistry 1223G0001X 019020320 IL
Durable Medical Equipment & Medical Supplies 332B00000X 019020320 IL

Mailing address

16 Bass Ln
Belleville, IL 62223-7626
Phone
(618) 476-7038

About Dr. Heberer

Dwight David Heberer, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Customized Equipment (DME) (code 332BC3200X). The practice location is 226 Westview Plaza Dr., Waterloo, IL 62298-2123. The NPI number 1083786909 was assigned on November 15, 2006 and the record was last updated on November 21, 2017.

Dr. Heberer lists 3 licenses in the registry: #019020320 (IL) for Customized Equipment (DME); #019020320 (IL) for General Practice Dentistry; #019020320 (IL) for Durable Medical Equipment & Medical Supplies. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dwight David Heberer, D.M.D.?

The NPI number is 1083786909.

What is the phone number of Dr. Heberer?

The phone number listed for the practice location is (618) 939-4042.

Where is Dr. Heberer located?

226 Westview Plaza Dr., Waterloo, IL 62298-2123.

What is the taxonomy code for Dr. Heberer?

The primary taxonomy code is 332BC3200X – Customized Equipment (DME); 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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