Individual
BEVAN WAYNE HEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
321 N MALL DR STE P101, ST GEORGE, UT 84790-7338
(435) 668-2450
Mailing address
321 N MALL DR STE P101, ST GEORGE, UT 84790-7338
(435) 668-2450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11299390-9922
UT
Other
Enumeration date
06/01/2010
Last updated
07/20/2021
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