| Leslie J. Heinemann, Dds, Pc | |
|
406 W Pipestone Ave Flandreau SD 57028-1617 | |
| (605) 997-3732 | |
| (605) 997-3799 |
| Full Name | Leslie J. Heinemann, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 406 W Pipestone Ave, Flandreau, South Dakota |
| Authorized Official Name and Position | Leslie J. Heinemann (CHAIRMAN) |
| Authorized Official Contact | 6059973732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie J. Heinemann, Dds, Pc 406 W Pipestone Ave Po Box 191 Flandreau SD 57028-1617 Ph: (605) 997-3732 | Leslie J. Heinemann, Dds, Pc 406 W Pipestone Ave Flandreau SD 57028-1617 Ph: (605) 997-3732 |
| NPI Number | 1891811246 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891811246 | NPI | - | NPPES |
| 7803480 | Medicaid | SD | |
| 7801660 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Flandreau Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W Pipestone Ave, Flandreau, SD 57028 Phone: 605-997-3732 | |
Heinemann & Heinemann Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W Pipestone Ave, Flandreau, SD 57028 Phone: 605-997-3732 |