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NPI Code Detail

MEDICARE: AMANDA KRIEGER DDS

MEDICARE: AMANDA KRIEGER DDS
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
1122300000XDentistDEN.00205143CO
2122300000XDentist14002NC
3122300000XDentistD11958OR
4122300000XDentistDDS111204CA
5122300000XDentistD012462AZ

General Provider Information

NPI Number : 1588393664
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KRIEGER DDS
Provider Business Mailing Address
First Line : 1312 17TH ST # 604
Second Line :
City : DENVER
State : CO
Zip : 80202-1508
Country : US
Telephone Number : 248-342-9113
Fax Number :
Provider Business Practice Location Address
First Line : 200 C ST
Second Line :
City : PATTERSON
State : CA
Zip : 95363-2701
Country : US
Telephone Number : 209-722-4842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 04/09/2026

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Directions to “ AMANDA KRIEGER DDS” Practice Location

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