Individual
DR. BAYNE HILLEN HEERSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
502 HEALTHWEST DR, DOTHAN, AL 36303-6900
(334) 702-1101
Mailing address
502 HEALTHWEST DR, DOTHAN, AL 36303-6900
(334) 702-1101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5684
AL
1223P0700X
Prosthodontics
Primary
5684
AL
Other
Enumeration date
07/14/2009
Last updated
07/21/2022
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