Organization
HEALTHWEST DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAYNE HILLEN HEERSINK DMD (PRESIDENT)
(334) 702-1101
Entity
Organization
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
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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