Individual
DR. JEFFREY HIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7200 E VIRGINIA STREET, EVANSVILLE, IN 47715
(812) 479-8609
(812) 479-5554
Mailing address
7200 E VIRGINIA STREET, EVANSVILLE, IN 47715
(812) 479-8609
(812) 479-5554
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010159A
IN
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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