Heather Renee Mackey, R.D.H.
Individual provider Active NPI Dental Assistant · Anderson, MO
NPI 1487989356 · NPPES record last updated Oct 12, 2009
Key facts
- NPI
- 1487989356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Assistant 126800000X
- License
- 003679 (MO)
- Practice address
- 508 W Highway 76
Anderson, MO 64831-8548 - Phone
- (417) 845-2243
- Fax
- (714) 845-2253
- NPI assigned
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003679 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Area Community Health Emissaries, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 003679 | MO | Yes |
Addresses
Primary practice location
508 W Highway 76
Anderson, MO 64831-8548
Mailing address
PO Box 1136
Anderson, MO 64831-1136
Phone (417) 845-2273
Other providers in Anderson, MO
- Samantha Hamilton
- Cody J Hansen
- Camille Reynaud Hatcher
- Amy Shala Hill
- Stacy L Jansen
- Viola Marie Martin
- Heather Maze
- Leland McCall
- McDonald County R-1 Schools
- Amanda D McKarus
All providers in Anderson, MO · Dental Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.