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Organization
MONTGOMERY HEATHMAN DDS, PA
Active
Organization
MONTGOMERY HEATHMAN DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTGOMERY D HEATHMAN DDS (DENTIST)
(479) 856-5588
Entity
Organization
Contact information
Practice address
12501 CANTRELL RD, LITTLE ROCK, AR 72223-1639
(501) 223-3838
(501) 223-2554
Mailing address
12501 CANTRELL RD, LITTLE ROCK, AR 72223-1639
(501) 223-3838
(501) 223-2554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161458608
—
AR
Enumeration date
02/18/2016
Last updated
02/18/2016
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