| Dr Larry G Tiedje, DDS | |
|
2410 Pierce St, Sioux City, IA 51104-3724 | |
| (712) 255-9056 | |
| (712) 255-1526 |
| Full Name | Dr Larry G Tiedje |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2410 Pierce St, Sioux City, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821046897 | NPI | - | NPPES |
| 099-853 | Other | IA | DELTA DENTAL IOWA |
| 0087882 | Medicaid | IA | |
| 702-363 | Other | IA | TRICARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 05957 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry G Tiedje, DDS 2006 Peachtree Ct, Sioux City, IA 51104-1747 Ph: (712) 252-4013 | Dr Larry G Tiedje, DDS 2410 Pierce St, Sioux City, IA 51104-3724 Ph: (712) 255-9056 |
Dr. Frank H Sargent, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 2910 Hamilton Blvd, Suite 101, Sioux City, IA 51104 Phone: 712-255-8017 Fax: 712-252-9748 | |
Dr. Brian Bradley Bursick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Morningside Avenue, Suite B, Sioux City, IA 51106 Phone: 712-274-2038 | |
Dr. Thomas Leonard Tiedeman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 Phone: 712-255-1163 Fax: 712-252-6157 | |
Dr. Dawn E Frein, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 Phone: 712-255-5754 Fax: 712-224-2075 | |
Dr. Jaicee Post, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Morningside Ave, Sioux City, IA 51106 Phone: 712-274-2038 | |
Dr. Richard Alan Kava, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2930 Hamilton Blvd Uppr F, Suite 101, Sioux City, IA 51104 Phone: 712-258-6169 Fax: 712-258-7053 | |
Wayne Anthony Lewis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2114 Pierce St, Sioux City, IA 51104 Phone: 712-252-3440 Fax: 712-252-5670 |