Healthcare Provider Details

I. General information

NPI: 1427989151
Provider Name (Legal Business Name): KENDALL ALEXANDRA HEIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 STATE ST N
WASECA MN
56093-2711
US

IV. Provider business mailing address

169 6TH ST N
KANDIYOHI MN
56251-5507
US

V. Phone/Fax

Practice location:
  • Phone: 507-833-1000
  • Fax:
Mailing address:
  • Phone: 320-905-3994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD15457
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: