Elizabeth Bieber
Individual provider Active NPI Dentist · Clear Lake, IA
NPI 1114587771 · NPPES record last updated Sep 3, 2020
Key facts
- NPI
- 1114587771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS-09674 (IA)
- Practice address
- 102 N 5TH St
Clear Lake, IA 50428-1803 - Phone
- (641) 357-4112
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09674 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bieber Dental PLLC | Current |
Accepting new patients | |
| Lake Dental Associates PC | Past | Accepting new patients |
Locations
102 N 5th St
Clear Lake, IA 50428
Phone (641) 357-4112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-09674 | IA | Yes |
Addresses
Primary practice location
102 N 5TH St
Clear Lake, IA 50428-1803
Mailing address
102 N 5TH St
Clear Lake, IA 50428-1803
Other providers in Clear Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.