Individual
JOHN D HIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1751 E TIPTON ST, SEYMOUR, IN 47274-3561
(812) 524-8282
(812) 522-7289
Mailing address
1751 E TIPTON ST, SEYMOUR, IN 47274-3561
(812) 524-8282
(812) 522-7289
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009235A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317013
UCCI
IN
Enumeration date
11/29/2006
Last updated
07/08/2007
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