DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLIE HEYDARI, DDS

Active Sole Proprietor

ELLIE HEYDARI, DDS is a General Dentistry healthcare provider located in BAYFIELD, Wisconsin. NPI 1518137652 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BAYFIELD, WI

Registration Details

NPI Number
1518137652
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2008 (18.448724449875 yrs)
Last Updated
Feb 10, 2017
Licenses
2901017468 (MI)
7252-15 (WI)
Sole Proprietor
Yes

Practice Information

Address
36745 AIKEN RD.
RED CLIFF COMMUNITY HEALTH CENTER
BAYFIELD, WI, 54814
Browse WI providers · Browse ZIP 54814
Phone
7157793707
Fax
7157793622
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in BAYFIELD, WI

Name Credential NPI
DR. PATRICK DEAN BROWN DDS 1386734242
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.