Leslie J. Heinemann, DDS, PC
Dentist, General Practice in Flandreau, SD. Organization (NPI-2).
NPI number1891811246
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1891811246
- Entity type
- Organization (NPI-2)
- Legal business name
- Leslie J. Heinemann, DDS, PC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
406 W Pipestone AveFlandreau, SD 57028-1617
Phone 605-997-3732 · Fax 605-997-3799
Mailing address
406 W Pipestone AvePo Box 191
Flandreau, SD 57028-1617
Phone 605-997-3732 · Fax 605-997-3799
Authorized official
Leslie J. Heinemann
Chairman
6059973732
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