Individual
DR. PAUL COLLINS HEILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7600 FERN AVE, BLDG #1100, SHREVEPORT, LA 71105-5659
(318) 797-1550
(318) 797-1510
Mailing address
7600 FERN AVE, BLDG #1100, SHREVEPORT, LA 71105-5659
(318) 797-1550
(318) 797-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3291
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832910
—
LA
Enumeration date
03/30/2007
Last updated
01/15/2009
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