Individual provider · Type 1 NPI
Thomas Heidenreich, DDS
Oral and Maxillofacial Surgery (Dentist) · St. Cloud, MN
Practice location
3950 Veterans Dr Ste 100
St. Cloud, MN 56303-3424
Mailing address
Centrasota Oral Surgeons, 3950 Veterans Drive, Suite 100
St. Cloud, MN 56303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | S169 (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in St. Cloud
- Donald M. Primley, DDS, M.S.Oral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1003861865
- Sean Philip Welander, DDSOral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1033477492
- Michael Jerome Schiff, DDSOral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1144547365
- Ryan D. Morris, DDSOral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1326255241
- Nicholas Ryan Kenning, DDS, MDOral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1497162358
- Harold Machesky, DDS, M.S.Oral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1780639682
- Gustavo Pena-Velasco, DDS, M.S.Oral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1851346639
- Robert J. Keck, DDS, M.S.Oral and Maxillofacial Surgery (Dentist) St. Cloud, MN NPI 1902843683
About NPI 1720367394
Thomas Heidenreich, DDS's National Provider Identifier is 1720367394, issued on Aug 12, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 24, 2021.