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

John R Heidenrich, DDS

Individual provider Dentist · NPI 1801078464

John R Heidenrich, DDS is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

480 Alta Rd
San Diego, CA 92179-0001
Phone: (619) 661-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25148 (CA)

Record details

NPI number1801078464
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 5, 2007
Last updated in NPPESDecember 5, 2007

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