Individual
DR. NICHOLAS RYAN HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1200 E WOODHURST DR, SUITE H100, SPRINGFIELD, MO 65804-4261
(303) 918-9080
Mailing address
PO BOX 14622, SPRINGFIELD, MO 65814-0622
(303) 918-9080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2008029194
MO
122300000X
Dentist
9204
CO
Other
Enumeration date
08/04/2006
Last updated
12/20/2011
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