Provider Demographics
NPI:1568231280
Name:BIEBER DENTAL PLLC
Entity Type:Organization
Organization Name:BIEBER DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-599-5720
Mailing Address - Street 1:102 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEAR LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50428-1803
Mailing Address - Country:US
Mailing Address - Phone:641-357-4112
Mailing Address - Fax:
Practice Address - Street 1:102 N 5TH ST
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1803
Practice Address - Country:US
Practice Address - Phone:641-357-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKE DENTAL ASSOCIATES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental