Organization
J FREDRICK HEATON DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J FREDRICK HEATON DMD (PRESIDENT)
(410) 822-1442
Entity
Organization
Contact information
Practice address
556-B CYNWOOD DRIVE, EASTON, MD 21601-3886
(410) 822-1442
(410) 822-1443
Mailing address
556-B CYNWOOD DRIVE, EASTON, MD 21601-3886
(410) 822-1442
(410) 822-1443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7126
MD
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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