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Contact Information

LARRY HEATER, DDS
107 H. ST. EAST
POPLAR, MT59255
 Phone: 406-768-2129
 Fax: 406-786-3423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LARRY HEATER · (Male)

NPI Number 1275633018
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/22/2006
Last updated 01/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 24113
  • MT Medicaid 2210068
  • CA Other 24113 CALIFORNIA STATE BOARD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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