Provider Demographics
NPI:1619354891
Name:HELMS, BRANDY RALYNN KLEINHEKSEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:RALYNN KLEINHEKSEL
Last Name:HELMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BRANDY
Other - Middle Name:RALYNN
Other - Last Name:KLEINHEKSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:583 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-1689
Mailing Address - Country:US
Mailing Address - Phone:157-723-2000
Mailing Address - Fax:
Practice Address - Street 1:583 LAKELAND DR
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-1689
Practice Address - Country:US
Practice Address - Phone:715-723-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10015001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry