# PAUL W HEATH, DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003250713
- **Authorized official:** MRS. DONNA I FULKERSON (OFFICE MANAGER)
- **Authorized official phone:** (785) 234-5410

## Contact information

- **Practice address:** 2714 NW TOPEKA BLVD, TOPEKA, KS 66617-1147
- **Practice address phone:** (785) 234-5410
- **Practice address fax:** (785) 234-9274
- **Mailing address:** 2714 NW TOPEKA BLVD, TOPEKA, KS 66617-1147
- **Mailing address phone:** (785) 234-5410
- **Mailing address fax:** (785) 234-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5363 | KS | — |
| 1223G0001X | General Practice Dentistry | 7146 | KS | Yes |

## Other

- **Enumeration date:** 04/24/2013
- **Last updated:** 04/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100095890B | — | KS |
| 05 | — | 100383600B | — | KS |