Provider Demographics
NPI:1437290970
Name:HELMICH, DONNA B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:B
Last Name:HELMICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 LA BREE AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:THIEF RIVER FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56701
Mailing Address - Country:US
Mailing Address - Phone:218-681-4041
Mailing Address - Fax:218-681-4050
Practice Address - Street 1:318 LA BREE AVE. NORTH
Practice Address - Street 2:
Practice Address - City:THIEF RIVER FALLS
Practice Address - State:MN
Practice Address - Zip Code:56701
Practice Address - Country:US
Practice Address - Phone:218-681-4041
Practice Address - Fax:218-681-4050
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320911223G0001X
MND12616122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice