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General NPI Number Information
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NPI Number | 1528492824
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Entity Type | Individual
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Provider Name | MARQUIS D HEATH D.D.S
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Gender | Male
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3900 JUNIUS ST STE 300
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City | DALLAS
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State | TX
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Zip | 75246-1602
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Country | US
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Telephone | 214-257-1082
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Fax |
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Provider Business Mailing Address
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Address Line | 3910 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-1504
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Country | US
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Telephone | 214-257-1082
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 134893
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6046C1
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6633
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License Number State | LA
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