Provider Demographics
NPI:1346133691
Name:HECK-BRITON, ALEXIS (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:HECK-BRITON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GOSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47433-7035
Mailing Address - Country:US
Mailing Address - Phone:812-821-6210
Mailing Address - Fax:812-879-4286
Practice Address - Street 1:10 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GOSPORT
Practice Address - State:IN
Practice Address - Zip Code:47433-7035
Practice Address - Country:US
Practice Address - Phone:812-821-6210
Practice Address - Fax:812-879-4286
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014763A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist