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NPI Code Detail

MEDICARE: DR. TAMMY SUE RHEA-BOHNENKAMP D.D.S.

MEDICARE:  DR. TAMMY SUE RHEA-BOHNENKAMP  D.D.S.
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
11223X2210XOrofacial Pain Dentistry07433IA
2332B00000XDurable Medical Equipment & Medical SuppliesDDS-07433IA
3122300000XDentistDDS-07433IA

General Provider Information

NPI Number : 1356369516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMMY SUE RHEA-BOHNENKAMP D.D.S.
Provider Business Mailing Address
First Line : 2730 PIERCE ST STE 202
Second Line :
City : SIOUX CITY
State : IA
Zip : 51104-3764
Country : US
Telephone Number : 712-899-9704
Fax Number : 833-463-2318
Provider Business Practice Location Address
First Line : 2730 PIERCE ST STE 202
Second Line :
City : SIOUX CITY
State : IA
Zip : 51104-3764
Country : US
Telephone Number : 127-899-9704
Fax Number : 833-463-2318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/29/2026

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Directions to “ DR. TAMMY SUE RHEA-BOHNENKAMP D.D.S.” Practice Location

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