Individual
DR. STEVEN PAUL HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1034 HILLPOINT BLVD, SUFFOLK, VA 23434-8272
(757) 925-0407
(757) 925-4931
Mailing address
1034 HILLPOINT BLVD, SUFFOLK, VA 23434-8272
(757) 925-0407
(757) 925-4931
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401006516
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178516
—
VA
Enumeration date
08/03/2006
Last updated
07/09/2007
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