Provider Demographics
NPI:1275543035
Name:BIERI, LINDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:BIERI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W MAIN ST
Mailing Address - Street 2:P.O. BOX 124
Mailing Address - City:LAURENS
Mailing Address - State:IA
Mailing Address - Zip Code:50554-1425
Mailing Address - Country:US
Mailing Address - Phone:712-841-4930
Mailing Address - Fax:712-841-4720
Practice Address - Street 1:111 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:IA
Practice Address - Zip Code:50554-1425
Practice Address - Country:US
Practice Address - Phone:712-841-4930
Practice Address - Fax:712-841-4720
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA63501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA15623OtherBC/BS
IA156232OtherDELTA DENTAL
IA0034090Medicaid