Provider Demographics
NPI:1316113814
Name:PAUL A HEATH DDS, INC
Entity type:Organization
Organization Name:PAUL A HEATH DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-682-0609
Mailing Address - Street 1:1601 SW 89TH ST
Mailing Address - Street 2:BLDG G, SUITE 500
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6349
Mailing Address - Country:US
Mailing Address - Phone:405-682-0609
Mailing Address - Fax:405-682-2921
Practice Address - Street 1:1601 SW 89TH ST
Practice Address - Street 2:BLDG G, SUITE 500
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6349
Practice Address - Country:US
Practice Address - Phone:405-682-0609
Practice Address - Fax:405-682-2921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty