Provider Demographics
NPI:1316068646
Name:HEFLEY, DONNA CHERYL (DDS)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:CHERYL
Last Name:HEFLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 WESTCHESTER
Mailing Address - Street 2:SUITE 145
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6109
Mailing Address - Country:US
Mailing Address - Phone:214-363-1603
Mailing Address - Fax:214-363-4295
Practice Address - Street 1:8215 WESTCHESTER
Practice Address - Street 2:SUITE 145
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6109
Practice Address - Country:US
Practice Address - Phone:214-363-1603
Practice Address - Fax:214-363-4295
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15044122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist