Dr John David Liedtke, DDS is a
Dentist based in Garrison, Texas. Dr John David Liedtke is licensed to practice in Texas (license number 10424) and his current practice location is
593 Hwy 59 South, Garrison, Texas. He can be reached at his office (for appointments etc.) via phone at
(936) 347-2163.
NPI number for Dr John David Liedtke is 1811096282 and his current mailing address is Po Box 905, Garrison, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811096282.
Healthcare Provider's Profile
| Full Name | Dr John David Liedtke |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 593 Hwy 59 South, Garrison, Texas |
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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: 1811096282
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John David Liedtke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811096282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 10424 (Texas) | 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 John David Liedtke 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 John David Liedtke, DDS
Po Box 905,
Garrison, TX 75946-0905
Ph: (936) 347-2163 | Dr John David Liedtke, DDS
593 Hwy 59 South,
Garrison, TX 75996-0905
Ph: (936) 347-2163 |
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