MEDICARE: COURTNEY T MIETZ DMD MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	112725	CA

General Provider Information

NPI Number	:	1306630751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY T MIETZ DMD MS

Provider Business Mailing Address
First Line	:	2295 FIELDSTONE DR STE 260
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-8810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2295 FIELDSTONE DR STE 260
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-8810
Country	:	US
Telephone Number	:	916-408-8688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	03/03/2026

Similar Medicare Providers

1679768949 — DR. BRIAN CHRISTOPHER CRAWFORD D.M.D.
Practice Location Address:

2295 FIELDSTONE DR STE 260
LINCOLN, CA
95648-8810

Practice Phone: 916-408-8688
Practice Fax:

1659263010 — BROOKE BOYD
Practice Location Address:

8810 TRUCHARD RD
LINCOLN, NE
68526-9718

Practice Phone: 443-988-5634
Practice Fax:

1871449736 — SHANNON VAN BRUNT RN
Practice Location Address:

500 DARLINGTON WAY
LINCOLN, CA
95648-2923

Practice Phone: 408-688-1075
Practice Fax:

1346196839 — MRS. JULIA ROSEMARIE MADISON MS
Practice Location Address:

873 1ST ST
LINCOLN, CA
95648-1764

Practice Phone: 916-461-9197
Practice Fax:

1154277648 — PATRICIA RODRIGUEZ
Practice Location Address:

845 1ST ST
LINCOLN, CA
95648-1764

Practice Phone: 916-259-6137
Practice Fax:

1043219371 — LINCOLN MANOR, INC.
Practice Location Address:

1550 3RD ST
LINCOLN, CA
95648-1576

Practice Phone: 916-645-7761
Practice Fax: 916-645-1767

Directions to “ COURTNEY T MIETZ DMD MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.