Kyle Wayne Heine, DMD
Individual provider Active NPI General Practice Dentistry · Metropolis, IL
NPI 1043398258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043398258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 44 Jon St
Metropolis, IL 62960 - Phone
- (618) 524-7303
- Fax
- (618) 524-4805
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019024337 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle W Heine DMD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Yes |
Addresses
Primary practice location
44 Jon St
Metropolis, IL 62960
Mailing address
44 Jon St
Metropolis, IL 62960
Phone (618) 524-7303
Other providers in Metropolis, IL
- Alyce Hannan
- Jennea Harris
- Rebecca Hawes
- Emily Ann Hawkins
- Alyssa Hebel
- Michael Joe Hicks
- Melanie Hileman
- Dean Dwight Hinners
- Tammy P Horn
- Jeanne Michele Horton
All providers in Metropolis, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.