Individual provider · Type 1 NPI

Matthew L. Heaton, DDS, M.S.

Periodontics · Knoxville, TN

NPI number 1659579472 Active

Practice location

140 E Market Place Blvd
Knoxville, TN 37922

Fax (865) 691-8340

Mailing address

140 Market Place Blvd
Knoxville, TN 37922-2337

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X8666 (TN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1659579472

Matthew L. Heaton, DDS, M.S.'s National Provider Identifier is 1659579472, issued on Jul 3, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Knoxville, TN. The record was last updated on Jul 8, 2007.