Individual
DR. DAVID RANDAL HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2745 OLD HOLLOW RD, WALKERTOWN, NC 27051-9529
(336) 595-2834
(336) 723-8337
Mailing address
PO BOX 545, WALKERTOWN, NC 27051-0545
(336) 595-2834
(336) 723-8337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5356
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993739
—
NC
Enumeration date
04/03/2007
Last updated
07/09/2007
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