Leslie J. Heinemann, DDS, PC
Organization Active NPI General Practice Dentistry · Flandreau, SD
NPI 1891811246 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1891811246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- LESLIE J. HEINEMANN, DDS, PC
- Practice address
- 406 W Pipestone Ave
Flandreau, SD 57028-1617 - Phone
- (605) 997-3732
- Fax
- (605) 997-3799
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Leslie J. Heinemann, DDS
- Title
- Chairman
- Phone
- (605) 997-3732
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
406 W Pipestone Ave
Flandreau, SD 57028-1617
Mailing address
406 W Pipestone Ave
PO Box 191
Flandreau, SD 57028-1617
Phone (605) 997-3732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7803480 | Medicaid | SD | |
| 7801660 | Medicaid | SD |
Other providers in Flandreau, SD
- Gina Teresa Johanson
- Oksana Johnson
- Alla Anatoly Jones
- Abbey Jo Kitto
- Katherine E Krystosek
- Amanda McMillan
- Jeanie Alyson Nold
- Megan Petersen
- Jeffery Lee Peterson
- Mariah Peterson
All providers in Flandreau, SD · General Practice Dentistry in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.