Individual
JAMES RICHARD HEATH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3201 CAMPUS DR, DENTAL CLINIC, KLAMATH FALLS, OR 97601-8801
(541) 885-1330
(541) 851-5301
Mailing address
3201 CAMPUS DR, DENTAL CLINIC, KLAMATH FALLS, OR 97601-8801
(541) 885-1330
(541) 851-5301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1111
AK
1223G0001X
General Practice Dentistry
D9007
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD113FQ
—
AK
Enumeration date
03/02/2007
Last updated
11/05/2007
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