Individual
HEIDI LOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 W. BURNSVILLE PKWY, SUITE 200, BURNSVILLE, MN 55337
(952) 890-2791
(952) 277-0200
Mailing address
550 W. BURNSVILLE PKWY, SUITE 200, BURNSVILLE, MN 55337
(952) 890-2791
(952) 277-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223628100
—
MN
01
—
28012SC
BCBS
MN
Enumeration date
01/05/2006
Last updated
08/26/2010
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