Healthcare Provider Details

I. General information

NPI: 1801199609
Provider Name (Legal Business Name): HEH RESEARCH & DEVELOPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4781 E CAMP LOWELL DR STE 101
TUCSON AZ
85712-1290
US

IV. Provider business mailing address

4781 E CAMP LOWELL DR STE 101
TUCSON AZ
85712-1290
US

V. Phone/Fax

Practice location:
  • Phone: 520-298-6909
  • Fax: 520-298-7376
Mailing address:
  • Phone: 520-298-6909
  • Fax: 520-298-7376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code292200000X
TaxonomyDental Laboratory
License NumberD2775
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberD2775
License Number StateAZ

VIII. Authorized Official

Name: DR. STEPHEN JOHN HARKINS
Title or Position: DENTIST/OWNER
Credential: D.D.S., P.C.
Phone: 520-298-6909