DR. Nicklaus Heath, D.D.S

NPI #1609259696 in Crestview, Florida

Provider Information

NPI Number: 1609259696
Entity Type: Individual
Name: DR. Nicklaus Heath, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 8, 2015
Last Updated: Jan 3, 2017

Practice Location

Address: 2670 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536-5480
Phone: (850) 634-0748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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