Dr. Leslie James Heinemann, DDS
Dentist, General Practice in Flandreau, SD. Individual provider (NPI-1).
NPI number1629136502
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629136502
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leslie James Heinemann
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | M-584 | SD | Yes |
Practice location
406 W Pipestone AveFlandreau, SD 57028-1617
Phone 605-997-3732 · Fax 605-997-3799
Mailing address
406 W Pipestone AveFlandreau, SD 57028-1617
Phone 605-997-3732 · Fax 605-997-3799
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