Kristin Francine Heckman-Nickodemus | Ann Arbor, MI • PECOS Search

Kristin Francine Heckman-Nickodemus

Dentist

Dental Providers

2240 S Huron Pkwy, Ann Arbor, MI 48104-5151

(734) 677-2156 (734) 623-7798

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin Francine Heckman-Nickodemus does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1710067350
Provider Type
Individual
Full Name
Heckman-Nickodemus, Kristin Francine
Title
Dr.
Credential
D.D.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/17/2006
Last Updated
1/8/2019

Contact Information

Practice Location

2240 S Huron Pkwy, Ann Arbor, MI 48104-5151

Unlisted Fax

Mailing Location

323 Virginia Ave, Ann Arbor, MI 48103-4133

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 2901017670 Michigan