Individual
DR. MONTGOMERY D. HEATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12501 CANTRELL RD, LITTLE ROCK, AR 72223-1639
(501) 223-3838
Mailing address
12501 CANTRELL RD, LITTLE ROCK, AR 72223-1639
(501) 223-3838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161458608
—
AR
Enumeration date
10/03/2006
Last updated
02/06/2019
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