Individual
DR. ERIN B HEATHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5222 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2070
(405) 947-1525
Mailing address
5222 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2070
(405) 947-1525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20112570A
—
OK
Enumeration date
05/18/2007
Last updated
07/09/2008
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