Organization
JOHN D HIESTER, DDS, MSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D HIESTER DDS (OWNER)
(812) 524-8282
Entity
Organization
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
Enumeration date
12/06/2006
Last updated
08/22/2020
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