| J Fredrick Heaton Dmd Pa | |
|
556-b Cynwood Drive Easton MD 21601-3886 | |
| (410) 822-1442 | |
| (410) 822-1443 |
| Full Name | J Fredrick Heaton Dmd Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 556-b Cynwood Drive, Easton, Maryland |
| Authorized Official Name and Position | J Fredrick Heaton (PRESIDENT) |
| Authorized Official Contact | 4108221442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Fredrick Heaton Dmd Pa 556-b Cynwood Drive Easton MD 21601-3886 Ph: (410) 822-1442 | J Fredrick Heaton Dmd Pa 556-b Cynwood Drive Easton MD 21601-3886 Ph: (410) 822-1442 |
| NPI Number | 1124240296 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124240296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7126 (Maryland) | Primary |
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