Heidi Nichols-johnson, Dds

NPI 1447658950 - Clinic/Center - 261QD0000X

NPI Details
NPI 1447658950
Enumeration Date 12/16/2014
Last Updated 12/16/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name HEIDI HEIDI
Position OWNER
Phone (701) 751-7510
Fax
Practice Location
4900 OTTAWA ST
SUITE 200
BISMARCK ND, 58503-6154, US
Phone (701) 751-7510
Fax
Business Location
4900 OTTAWA ST
SUITE 200
BISMARCK ND, 58503-6154, US
Phone (701) 751-7510
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State North Dakota
License Number 1963
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According to our database, Heidi Nichols-johnson, Dds NPI is 1447658950, taxonomy code is 261QD0000X and license number is 1963, license state is located at North Dakota. Heidi Nichols-johnson, Dds physically located at 4900 Ottawa St, Bismarck ND, 58503-6154. NPI Number 1033115704 has the healthcare provider type.

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1447658950 NPI number is provided on an as is basis without warranty of any kind. 1447658950 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Nichols-johnson, Dds are for informational purposes only.