Richard F Heard, DDS

Individual provider Active NPI General Practice Dentistry · Algood, TN

NPI 1114076262 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114076262
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8130 (TN)
Practice address
172 W Main Street
Algood, TN 38506
Phone
(931) 537-9948
Fax
(931) 537-2808
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8130TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Algood Family Dental Group General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8130 TN Yes

Addresses

Primary practice location

172 W Main Street
Algood, TN 38506

Mailing address

172 W Main Street
Algood, TN 38506
Phone (931) 537-9948

Other providers in Algood, TN

All providers in Algood, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.