Provider Demographics
NPI:1700050549
Name:TORGERSON, HEIDI KAY (DDS)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:KAY
Last Name:TORGERSON
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:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:MN
Mailing Address - Zip Code:55920-0037
Mailing Address - Country:US
Mailing Address - Phone:612-437-7720
Mailing Address - Fax:
Practice Address - Street 1:21 FRONTAGE RD NE
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:MN
Practice Address - Zip Code:55920-1592
Practice Address - Country:US
Practice Address - Phone:612-437-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12611122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program