Individual provider · Type 1 NPI
Travis Glenn Heaton, DDS
General Practice Dentistry · Tyler, TX
NPI number
1265783310
Active
Practice location
4700 Kinsey Dr
Tyler, TX 75703-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 28244 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1265783310
Travis Glenn Heaton, DDS's National Provider Identifier is 1265783310, issued on Sep 28, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tyler, TX. The record was last updated on Sep 28, 2012.