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

Dr. Kenneth Lloyd Heitman, DDS, MSD

Individual provider Periodontics · NPI 1396784427

Dr. Kenneth Lloyd Heitman, DDS, MSD is a Periodontics in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

8101 Shelby St
Indianapolis, IN 46227-6278
Phone: (317) 882-5088
Fax: (317) 889-4734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 12008056 (IN)

Record details

NPI number1396784427
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJuly 13, 2026

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