| Heidi Nichols-johnson, Dds | |
|
4900 Ottawa St Suite 200 Bismarck ND 58503-6154 | |
| (701) 751-7510 | |
| Not Available |
| Full Name | Heidi Nichols-johnson, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4900 Ottawa St, Bismarck, North Dakota |
| Authorized Official Name and Position | Heidi Nichols-johnson (OWNER) |
| Authorized Official Contact | 7017517510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Nichols-johnson, Dds 4900 Ottawa St Suite 200 Bismarck ND 58503-6154 Ph: (701) 751-7510 | Heidi Nichols-johnson, Dds 4900 Ottawa St Suite 200 Bismarck ND 58503-6154 Ph: (701) 751-7510 |
| NPI Number | 1447658950 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 12/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447658950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1963 (North Dakota) | Primary |
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