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NPI Code Detail

MEDICARE: DR. STEPHEN TURNER HEGGIE DMD

MEDICARE:  DR. STEPHEN TURNER HEGGIE  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD-4309ID
21223G0001XGeneral Practice Dentistry0026288TX

General Provider Information

NPI Number : 1538474572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN TURNER HEGGIE DMD
Provider Business Mailing Address
First Line : 3023 THOUSAND OAKS DR STE 110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3557
Country : US
Telephone Number : 210-497-6700
Fax Number : 210-497-6706
Provider Business Practice Location Address
First Line : 3023 THOUSAND OAKS DR STE 110
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3557
Country : US
Telephone Number : 210-497-6700
Fax Number : 210-497-6706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2010
Last Update Date : 01/26/2012

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Directions to “ DR. STEPHEN TURNER HEGGIE DMD” Practice Location

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