Organization
PAUL W HEATH, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA I FULKERSON (OFFICE MANAGER)
(785) 234-5410
Entity
Organization
Contact information
Practice address
2714 NW TOPEKA BLVD, TOPEKA, KS 66617-1147
(785) 234-5410
(785) 234-9274
Mailing address
2714 NW TOPEKA BLVD, TOPEKA, KS 66617-1147
(785) 234-5410
(785) 234-9274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5363
KS
1223G0001X
General Practice Dentistry
Primary
7146
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095890B
—
KS
05
—
100383600B
—
KS
Enumeration date
04/24/2013
Last updated
04/24/2013
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