IndividualActive
Jacob Heath, DDS
NPI 1104487057 · Dentist · Rock Springs, WY
Provider details
- NPI number
- 1104487057
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1529 (WY)
Specialties & taxonomies
Dental Providers
Practice location
2441 Foothill Blvd Ste 1171b
Rock Springs, WY 82901-5691
Phone: (307) 382-5902
Approximate (ZIP-level) locationGet directions
Mailing address
2441 Foothill Blvd Ste 1171b
Rock Springs, WY 82901-5691
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2019-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.