Laura Elizabeth Giese, DDS
Individual provider Active NPI Dentist · Sergeant Bluff, IA
NPI 1760620397 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1760620397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 08538 (IA)
- Practice address
- 104 Port Neal Rd
Sergeant Bluff, IA 51054-8097 - Phone
- (712) 943-4746
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510001568 | IA | Order and Referring Only - Dentist |
6406145747 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08538 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sergeant Bluff Smiles | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08538 | IA | Yes |
Addresses
Primary practice location
104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Mailing address
104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Phone (712) 943-4746
Other providers in Sergeant Bluff, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.