Whalio Doctors

NPI 1194087007

Jay Heeren, DDS

Practitioner Dentist Sturgis, SD

Practice location

Address
866 Lazelle St, Sturgis, SD 57785-1611
Phone
(605) 347-8880
Fax
(605) 347-2011

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence D0997 (SD)

Registry record

NPI
1194087007
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2012
Record last updated
15 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.