Dr David Allan Liebold, DDS is a
Dentist - General Practice based in Bottineau, North Dakota. Dr David Allan Liebold is licensed to practice in North Dakota (license number ND1758) and his current practice location is
621 Main St, Bottineau, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 228-2200.
NPI number for Dr David Allan Liebold is 1417097007 and his current mailing address is 621 Main St, Bottineau, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417097007.
Healthcare Provider's Profile
| Full Name | Dr David Allan Liebold |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 621 Main St, Bottineau, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417097007
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr David Allan Liebold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417097007 | NPI | - | NPPES |
| 41105 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | ND1758 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Allan Liebold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Allan Liebold, DDS
621 Main St,
Bottineau, ND 58318-1344
Ph: (701) 228-2200 | Dr David Allan Liebold, DDS
621 Main St,
Bottineau, ND 58318-1344
Ph: (701) 228-2200 |
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