Provider Demographics
NPI:1114076262
Name:HEARD, RICHARD F (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:HEARD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 W MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ALGOOD
Mailing Address - State:TN
Mailing Address - Zip Code:38506
Mailing Address - Country:US
Mailing Address - Phone:931-537-9948
Mailing Address - Fax:931-537-2808
Practice Address - Street 1:172 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:ALGOOD
Practice Address - State:TN
Practice Address - Zip Code:38506
Practice Address - Country:US
Practice Address - Phone:931-537-9948
Practice Address - Fax:931-537-2808
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN81301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice