Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Ira Heideman, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164098802

Dr. Jason Ira Heideman, DDS is a Student in an Organized Health Care Education/Training Program in Tamarac, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6268 N University Dr
Tamarac, FL 33321
Phone: (732) 947-8445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN26992 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164098802
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 21, 2023
Certification dateJune 8, 2023
Mailing address4020 N Hills Dr Apt 39, Hollywood, FL 33021-2447

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