Healthcare Provider Details

I. General information

NPI: 1265350292
Provider Name (Legal Business Name): HJ DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 S CLIFF AVE
SIOUX FALLS SD
57108-5475
US

IV. Provider business mailing address

5100 S CLIFF AVE
SIOUX FALLS SD
57108-5475
US

V. Phone/Fax

Practice location:
  • Phone: 605-371-9111
  • Fax:
Mailing address:
  • Phone: 605-371-9111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HOLLY JOY HEIEN
Title or Position: OWNER
Credential: DDS
Phone: 605-769-1129