Provider Demographics
NPI:1154766863
Name:HEATH DENTAL PARTNERS LLP
Entity type:Organization
Organization Name:HEATH DENTAL PARTNERS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-286-1513
Mailing Address - Street 1:613 HEBRON RD
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1404
Mailing Address - Country:US
Mailing Address - Phone:740-788-8084
Mailing Address - Fax:740-788-8094
Practice Address - Street 1:613 HEBRON RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1404
Practice Address - Country:US
Practice Address - Phone:740-788-8084
Practice Address - Fax:740-788-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0239221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty