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General NPI Number Information
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NPI Number | 1285533737
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Entity Type | Organization
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Legal Business Name | JUSTIN HEATON DMD, PC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1933 BELMONT LOOP
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City | WOODLAND
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State | WA
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Zip | 98674-8492
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Country | US
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Telephone | 360-837-5600
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Fax | 360-873-0685
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Provider Business Mailing Address
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Address Line | 1933 BELMONT LOOP
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City | WOODLAND
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State | WA
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Zip | 98674-8492
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Country | US
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Telephone | 360-837-5600
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Fax | 360-873-0685
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Authorized Official
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Title or Position | OWNER
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Name | JUSTIN HEATON
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Credential | DMD
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Telephone | 208-569-4169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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