Provider Demographics
NPI:1265891394
Name:CHRISTENSEN - BIERI OF SPIRIT LAKE, D.D.S., P.C.
Entity type:Organization
Organization Name:CHRISTENSEN - BIERI OF SPIRIT LAKE, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:712-336-9111
Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-0509
Mailing Address - Country:US
Mailing Address - Phone:712-336-9111
Mailing Address - Fax:712-336-6931
Practice Address - Street 1:1724 HILL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360
Practice Address - Country:US
Practice Address - Phone:712-336-9111
Practice Address - Fax:712-336-6931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty