Individual
DR. JAY HEEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
866 LAZELLE ST, STURGIS, SD 57785-1611
(605) 347-8880
(605) 347-2011
Mailing address
866 LAZELLE ST, STURGIS, SD 57785-1611
(605) 347-8880
(605) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0997
SD
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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