Individual provider · Type 1 NPI

Travis Glenn Heaton, DDS

General Practice Dentistry · Tyler, TX

NPI number 1265783310 Active

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.