Provider Demographics
NPI:1992811616
Name:DENT, HEATHER PALMER (DDS)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:PALMER
Last Name:DENT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:HEATHER
Other - Middle Name:ANN
Other - Last Name:PALMER-DENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:20818 KINGS CLOVER CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77346
Mailing Address - Country:US
Mailing Address - Phone:281-386-6302
Mailing Address - Fax:
Practice Address - Street 1:412 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-1840
Practice Address - Country:US
Practice Address - Phone:713-926-6229
Practice Address - Fax:832-494-1779
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist