DR. Jay Heeren, DDS

NPI #1194087007 in Sturgis, South Dakota

Provider Information

NPI Number: 1194087007
Entity Type: Individual
Name: DR. Jay Heeren, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 866 LAZELLE ST
City: Sturgis
State: South Dakota
ZIP Code: 57785-1611
Phone: (605) 347-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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