Organization
EVANSVILLE PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HIESTER D.D.S. (DENTIST)
(812) 479-8609
Entity
Organization
Contact information
Practice address
7200 E VIRGINIA ST, EVANSVILLE, IN 47715-4068
(812) 479-8609
(812) 479-5554
Mailing address
7200 E VIRGINIA ST, EVANSVILLE, IN 47715-4068
(812) 479-8609
(812) 479-5554
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010159A
IN
Other
Enumeration date
06/11/2006
Last updated
09/12/2007
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