DR. JUSTIN ANTHONY HEATON


Address: 900 Ne 139th St Ste 106, Vancouver, WA 98685
Phone: 3606049000

DR. JUSTIN ANTHONY HEATON (NPI# 1336436906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336436906
Entity Type Individual
Full Name DR. JUSTIN ANTHONY HEATON
Credential DMD
Practice Address 900 Ne 139th St Ste 106
Vancouver
WA 98685
Mailing Address 7300 N Myrtle Ave
Gladstone
MO 64119-1978
Practice Telephone 3606049000
Practice Fax Number 3605731417
Mailing Telephone 2085694169
Enumeration Date 2011-07-05
Last Update Date 2018-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DE60739379 WA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT UTAH STATE DENTAL BOARD 8021817-9922 01
MO MISSOURI DENTAL BOARD 2015004889 01
CO COLORADO DENTAL BOARD 00202327 01
NM NEW MEXICO DENTAL BOARD DD4183 01

Office Location

Street Address 900 NE 139TH ST STE 106
City VANCOUVER
State WA
Zip Code 98685

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225650112 Zachary Dodds Massage Therapist 12314 Nw 42nd Ct, Vancouver, WA 98685 2020-05-13
1760996425 Eric Moore Physical Therapy Assistant 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 2017-11-16
1942711767 Julie B Lawrence Nurse Practitioner 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 2017-10-19
1538688668 Carrie Roxann Wolfe Counselor 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 2017-09-09
1548719461 Mirror Pond Dental, LLC Dentist 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 2016-10-04
1629522958 Deanna Carter Massage Therapist 1319 Ne 134th Street, Vancouver, WA 98685 2016-08-03
1417329020 Kaleen Hoyt Massage Therapist 1319 Nw 134th St Suit 103, Vancuver, WA 98685 2015-10-22
1497173066 Kelley Heffelfinger Behavioral Analyst 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 2014-04-01
1548512791 Elana S Kier Social Worker 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 2012-10-12
1922370469 Brian R Timms Chiropractor 1412 Ne 134th St Ste 100, Vancouver, WA 98685 2012-01-30
Find all providers in zip 98685

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043563661 Amna Shebani, D.d.s., P.C. Dentist 1405 S.e. 164th Avenue, Suite # 203, Vancouver, WA 98683 2012-10-19
1285798728 Frank J Foreman Dds Ps Dentist 11700 Ne 95th St, Suite 120, Vancouver, WA 98682-2399 2006-12-20
1841353638 Richard L. Grabowsky Dentist 1933 Fort Vancouver Way, Vancouver, WA 98663-3529 2006-12-19
1093891533 Willie M Hardie Dentist 925 Ne 136th Ave, Suite 101, Vancouver, WA 98684-0896 2006-10-27
1396756029 Peter Lubisich Dentist 300 Se 120th Ave Ste 100, Vancouver, WA 98683-4067 2006-08-10
1255348181 David S Neil Dentist 2501 Ne 134th St, Vancouver, WA 98686-3026 2006-08-02
1801831508 Pamela Butler Dentist 3205 Se 192nd Ave, Suite#100, Vancouver, WA 98683 2006-06-17
1396134185 Renato De Luna, Dmd Dentist 11700 Ne 95th St, Suite 120, Vancouver, WA 98682-2399 2015-01-15
1033460183 Gagneja, Bds, Pllc Dentist 601 Se 117th Ave, Ste 150, Vancouver, WA 98683-5297 2012-09-28
1285998336 Kurt Duc Truong Dentist 14201 Ne 20th Ave, #c-3102, Vancouver, WA 98686-6410 2012-07-03
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98685

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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