Dr Randel Gene Dietze, DDS is a
Dentist - General Practice based in Oconto Falls, Wisconsin. Dr Randel Gene Dietze is licensed to practice in Wisconsin (license number WI4147) and his current practice location is
256 N Main St, Oconto Falls, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 846-3841.
NPI number for Dr Randel Gene Dietze is 1457579666 and his current mailing address is 256 N Main St, Oconto Falls, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457579666.
Healthcare Provider's Profile
Full Name | Dr Randel Gene Dietze |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 256 N Main St, Oconto Falls, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457579666
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Randel Gene Dietze such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457579666 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | WI4147 (Wisconsin) | 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 Randel Gene Dietze 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 Randel Gene Dietze, DDS 256 N Main St, Oconto Falls, WI 54154-1047 Ph: (920) 846-3841 | Dr Randel Gene Dietze, DDS 256 N Main St, Oconto Falls, WI 54154-1047 Ph: (920) 846-3841 |
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