| W. Tyler Heath, D.m.d., Family Dentistry A Dent | |
|
1107 Louisa Street Rayville LA 71269 | |
| (318) 728-9585 | |
| (318) 728-9595 |
| Full Name | W. Tyler Heath, D.m.d., Family Dentistry A Dent |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1107 Louisa Street, Rayville, Louisiana |
| Authorized Official Name and Position | William Tyler Heath (OWNER/PRESIDENT) |
| Authorized Official Contact | 3187289585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Tyler Heath, D.m.d., Family Dentistry A Dent 1107 Louisa Street Rayville LA 71269 Ph: (318) 728-9585 | W. Tyler Heath, D.m.d., Family Dentistry A Dent 1107 Louisa Street Rayville LA 71269 Ph: (318) 728-9585 |
| NPI Number | 1639484983 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639484983 | NPI | - | NPPES |
| 1851108 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5110 (Louisiana) | Primary |