Organization
HEIDI NICHOLS-JOHNSON, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI NICHOLS-JOHNSON D.D.S. (OWNER)
(701) 751-7510
Entity
Organization
Contact information
Practice address
4900 OTTAWA ST, SUITE 200, BISMARCK, ND 58503-6154
(701) 751-7510
Mailing address
4900 OTTAWA ST, SUITE 200, BISMARCK, ND 58503-6154
(701) 751-7510
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1963
ND
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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