Provider Demographics
NPI:1184754707
Name:HEARD, RICK H III (DDS,MS)
Entity type:Individual
Prefix:MR
First Name:RICK
Middle Name:H
Last Name:HEARD
Suffix:III
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 N NAVARRO ST STE 304
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1770
Mailing Address - Country:US
Mailing Address - Phone:361-573-1014
Mailing Address - Fax:
Practice Address - Street 1:5606 N NAVARRO ST STE 304
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1770
Practice Address - Country:US
Practice Address - Phone:361-573-1014
Practice Address - Fax:361-573-1015
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics