Amber Dee Cziok, D.D.S.

Individual provider Active NPI General Practice Dentistry · Litchfield, MN

NPI 1881741643 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1881741643
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D12272 (MN)
Practice address
623 S Sibley Ave
Litchfield, MN 55355-3339
Phone
(320) 693-8131
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D12272MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sibley Dental Suite, PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12272 MN Yes

Addresses

Primary practice location

623 S Sibley Ave
Litchfield, MN 55355-3339

Mailing address

623 S Sibley Ave
Litchfield, MN 55355-3339
Phone (320) 693-8131

Other providers in Litchfield, MN

All providers in Litchfield, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.