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

Dr. Mark E. Heideman, DDS

Individual provider Dentist · NPI 1891851358

Dr. Mark E. Heideman, DDS is a Dentist in Shawano, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
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

920 E 5th St
Shawano, WI 54166-2212
Phone: (715) 524-2581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2270 (WI)

Record details

NPI number1891851358
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address920 E 5th St, Shawano, WI 54166-2212

Other providers in Shawano