Jacob Heath, DDS

NPI #1104487057 in Rock Springs, Wyoming

Provider Information

NPI Number: 1104487057
Entity Type: Individual
Name: Jacob Heath, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 21, 2019
Last Updated: Jun 21, 2019

Practice Location

Address: 2441 FOOTHILL BLVD STE 1171B
City: Rock Springs
State: Wyoming
ZIP Code: 82901-5691
Phone: (307) 382-5902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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