Provider Demographics
NPI:1417269838
Name:FINKELSTEIN, HEIDI R (DMD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:R
Last Name:FINKELSTEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 NW 70TH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2300
Mailing Address - Country:US
Mailing Address - Phone:305-343-1584
Mailing Address - Fax:954-641-0513
Practice Address - Street 1:333 NW 70TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2300
Practice Address - Country:US
Practice Address - Phone:954-584-1030
Practice Address - Fax:954-641-0513
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN191671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice