Provider Demographics
NPI:1831289834
Name:HIGGINS, DENNIS L (DDS,PS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:L
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DDS,PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 COLUMBIA POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4375
Mailing Address - Country:US
Mailing Address - Phone:509-946-9313
Mailing Address - Fax:509-946-2216
Practice Address - Street 1:90 COLUMBIA POINT DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4375
Practice Address - Country:US
Practice Address - Phone:509-946-9313
Practice Address - Fax:509-946-2216
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA059371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice