Healthwest Dental, Pc | |
502 Healthwest Dr Dothan AL 36303-6900 | |
(334) 702-1101 | |
Not Available |
Full Name | Healthwest Dental, Pc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 502 Healthwest Dr, Dothan, Alabama |
Authorized Official Name and Position | Bayne Hillen Heersink (PRESIDENT) |
Authorized Official Contact | 3347021101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthwest Dental, Pc 502 Healthwest Dr Dothan AL 36303-6900 Ph: (334) 702-1101 | Healthwest Dental, Pc 502 Healthwest Dr Dothan AL 36303-6900 Ph: (334) 702-1101 |
NPI Number | 1750804225 |
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Provider Enumeration Date | 07/17/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750804225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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