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NPI Code Detail

MEDICARE: DR. RICHARD EDWARD HEYES JR. D.D.S.

MEDICARE:  DR. RICHARD EDWARD HEYES JR. D.D.S.
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 Dentistry28002CA

General Provider Information

NPI Number : 1700880614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD EDWARD HEYES JR. D.D.S.
Provider Business Mailing Address
First Line : 428 ARDEN AVE
Second Line : STE 200
City : GLENDALE
State : CA
Zip : 91203-4012
Country : US
Telephone Number : 818-241-8131
Fax Number : 818-243-9972
Provider Business Practice Location Address
First Line : 428 ARDEN AVE
Second Line : STE 200
City : GLENDALE
State : CA
Zip : 91203-4012
Country : US
Telephone Number : 818-241-8131
Fax Number : 818-243-9972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD EDWARD HEYES JR. D.D.S.” Practice Location

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