Heath, James Richard

Heath, James Richard is an individual health care provider with primary practice located at 3201 Campus Dr Dental Clinic, Klamath Falls OR 97601-8801. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Heath, James Richard can be contacted via phone (541) 885-1330.

Contact Information

Primary practice address
3201 Campus Dr Dental Clinic Klamath Falls OR 97601-8801
Phone: (541) 885-1330
Fax: (541) 851-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1111 Alaska
Dental Providers / General Practice 1223G0001X D9007 Oregon

Profile Details

NPI number 1265561880
LBN Legal business name Heath, James Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Nov 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265561880 NPPES
Alaska MEDICAID DD113FQ

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