Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicklaus Heath, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609259696

Dr. Nicklaus Heath, DDS is a Student in an Organized Health Care Education/Training Program in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2670 S Ferdon Blvd
Crestview, FL 32536-5480
Phone: (850) 634-0748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22161 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609259696
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 8, 2015
Last updated in NPPESJanuary 3, 2017
Mailing address1721 N 20th Ave, Pensacola, FL 32503-5758

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