Individual
DR. DAVID K HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
204 N MAIN ST, RUTLAND, VT 05701-2411
(802) 775-5286
(802) 775-2218
Mailing address
204 N MAIN ST, RUTLAND, VT 05701-2411
(802) 775-5286
(802) 775-2218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
986
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004586
—
VT
Enumeration date
01/08/2007
Last updated
07/08/2007
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