Individual
DR. HEIDI LYNN BLACHLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1475 BOYSON ROAD, HIAWATHA, IA 52233-2339
(319) 393-4019
(319) 378-2924
Mailing address
1475 BOYSON ROAD, HIAWATHA, IA 52233-2339
(319) 393-4019
(319) 378-2924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7638
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123307
—
IA
01
—
124986
UNITED CONCORDIA
IA
01
—
51276
WELLMARK
IA
Enumeration date
05/23/2006
Last updated
07/08/2007
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