Individual
DR. JEFFREY WILLIAM HEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6608 FLYING CLOUD DR, SUITE 200, EDEN PRAIRIE, MN 55344-3381
(952) 903-5000
(952) 944-0642
Mailing address
6608 FLYING CLOUD DR, SUITE 200, EDEN PRAIRIE, MN 55344-3381
(952) 903-5000
(952) 944-0642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8497
MN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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