BEVAN WAYNE HEATON D.M.D. NPI 1699095620

NPI Information

Bevan Wayne Heaton, D.M.D. is a general practice dentist in St George, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Bevan Wayne Heaton, D.M.D. NPI is 1699095620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 N MALL DR STE P101
ST GEORGE, UT
ZIP 84790-338
Phone: (435) 668-2450

The NPI 1699095620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/1/2010 and was last updated on 7/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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