# ANDREW F. HEIDERGOTT, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326318643
- **Authorized official:** DR. ANDREW F HEIDERGOTT DDS (PRESIDENT)
- **Authorized official phone:** (509) 466-6979

## Contact information

- **Practice address:** 10121 N NEVADA ST, SUITE 202, SPOKANE, WA 99218-3120
- **Practice address phone:** (509) 466-6979
- **Practice address fax:** (509) 466-0731
- **Mailing address:** 10121 N NEVADA ST, SUITE 202, SPOKANE, WA 99218-3120
- **Mailing address phone:** (509) 466-6979
- **Mailing address fax:** (509) 466-0731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60107465 | WA | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 01/03/2012