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NPI Code Detail

MEDICARE: DR. ROGER C. BIEDE II D.D.S.

MEDICARE: DR. ROGER C. BIEDE II 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
11223G0001XGeneral Practice DentistryD1936AZ

General Provider Information

NPI Number : 1528028503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER C. BIEDE II D.D.S.
Provider Business Mailing Address
First Line : 1238 W ORANGE GROVE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704
Country : US
Telephone Number : 520-575-8800
Fax Number : 520-742-4120
Provider Business Practice Location Address
First Line : 1238 W ORANGE GROVE RD
Second Line : SUITE 102
City : TUCSON
State : AZ
Zip : 85704-2950
Country : US
Telephone Number : 520-797-1240
Fax Number : 520-742-3876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 06/18/2021

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