MEDICARE: OLSON BIERI CHRISTENSEN, DDS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	06350	IA

General Provider Information

NPI Number	:	1174603666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLSON BIERI CHRISTENSEN, DDS, PC

Provider Business Mailing Address
First Line	:	1724 HILL AVE STE 100
Second Line	:	PO BOX 509
City	:	SPIRIT LAKE
State	:	IA
Zip	:	51360-1273
Country	:	US
Telephone Number	:	712-336-9111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1724 HILL AVE STE 100
Second Line	:
City	:	SPIRIT LAKE
State	:	IA
Zip	:	51360-1273
Country	:	US
Telephone Number	:	712-336-9111
Fax Number	:

Authorized Official
Title or Position	:	DR.
Name	:	DR. LINDA BIERI
Credential	:	DDS
Telephone Number	:	712-336-9111

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/22/2020

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