Provider Demographics
NPI:1821206111
Name:RIDGWAY, HEATHER KECK (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:KECK
Last Name:RIDGWAY
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8119 ISABELLA LN STE 102
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8183
Mailing Address - Country:US
Mailing Address - Phone:615-377-7793
Mailing Address - Fax:615-377-7794
Practice Address - Street 1:8119 ISABELLA LN STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8183
Practice Address - Country:US
Practice Address - Phone:615-377-7793
Practice Address - Fax:615-377-7794
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN85751223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics