Provider Demographics
NPI:1942372065
Name:HEARD, DANIEL CARY (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CARY
Last Name:HEARD
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 CRESTWOOD RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-6861
Mailing Address - Country:US
Mailing Address - Phone:501-753-2244
Mailing Address - Fax:
Practice Address - Street 1:2400 CRESTWOOD RD
Practice Address - Street 2:SUITE 205
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6861
Practice Address - Country:US
Practice Address - Phone:501-753-2244
Practice Address - Fax:501-753-9244
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR34581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1729401OtherUNITED CONCORDIAN PROV ID
AR5Y366OtherAR BCBS PROV ID