Matthew Scott Heimbach, D.M.D.
Individual provider Active NPI General Practice Dentistry · Exeter, NH
NPI 1730258641 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1730258641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3407 (NH)
- Practice address
- 1 Hampton Rd Unit 305
Exeter, NH 03833-4891 - Phone
- (603) 583-4533
- Fax
- (603) 583-4507
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| 3407 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahern & Nichols Family Dentistry,P.a. | General Practice | Past | Accepting new patients |
| Northeast Mobile Dental Service, P.a. | General Practice | Past | Accepting new patients |
| Abenaki Dental Care | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3407 | NH | Yes |
Addresses
Primary practice location
1 Hampton Rd Unit 305
Exeter, NH 03833-4891
Mailing address
1 Hampton Rd Unit 305
Exeter, NH 03833-4891
Phone (603) 583-4533
NPI Registry JSON
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1730258641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HAMPTON RD UNIT 305",
"city": "EXETER",
"state": "NH",
"postal_code": "038334891",
"telephone_number": "603-583-4533",
"fax_number": "603-425-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD UNIT 305",
"city": "EXETER",
"state": "NH",
"postal_code": "038334891",
"telephone_number": "603-583-4533",
"fax_number": "603-583-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMBACH",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "3407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
- Kirsten E Hawksley
- Constance Lynn Hayes
- Debra Healy
- Paul E. Heaps
- Susan Marie Hechler-Lynch
- Susan Jane Hemstreet
- Robert Henley
- Barbara Dugan Henricks
- Steven C Henricks
- Adam Hernandez
All providers in Exeter, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2024. 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.