Provider Demographics
NPI:1649632217
Name:HEATH, ELIZABETH MAURER (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MAURER
Last Name:HEATH
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:12419 CANTRELL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1727
Mailing Address - Country:US
Mailing Address - Phone:501-223-8442
Mailing Address - Fax:501-224-2900
Practice Address - Street 1:12419 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223
Practice Address - Country:US
Practice Address - Phone:501-223-8442
Practice Address - Fax:501-224-2900
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX317101223X0400X
AR42531223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics