Provider Demographics
NPI:1437374451
Name:HEAP, THOMAS NEWTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:NEWTON
Last Name:HEAP
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 1:4219 RICHMOND AVE
Mailing Address - Street 2:104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6893
Mailing Address - Country:US
Mailing Address - Phone:713-621-6622
Mailing Address - Fax:
Practice Address - Street 1:4219 RICHMOND AVE
Practice Address - Street 2:104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6893
Practice Address - Country:US
Practice Address - Phone:713-621-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10706OtherSTATE LICENSE NUMBER