Randall Lee Breeden, DDS - Dentist in Sioux City, IA

Randall Lee Breeden, DDS is a Dentist - Endodontics based in Sioux City, Iowa. Randall Lee Breeden is licensed to practice in Iowa (license number 08190) and his current practice location is 2928 Hamilton Blvd, Suite 101, Sioux City, Iowa. He can be reached at his office (for appointments etc.) via phone at (712) 258-3636.

NPI number for Randall Lee Breeden is 1194873315 and his current mailing address is 2928 Hamilton Blvd, Suite 101, Sioux City, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194873315.

Contact Information

Randall Lee Breeden, DDS
2928 Hamilton Blvd, Suite 101,
Sioux City, IA 51104-2424
(712) 258-3636
(712) 255-4163



Healthcare Provider's Profile

Full NameRandall Lee Breeden
GenderMale
SpecialityDentist - Endodontics
Location2928 Hamilton Blvd, Sioux City, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194873315
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Randall Lee Breeden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194873315NPI-NPPES
34813OtherIABLUE CROSS
0436113MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 08190 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall Lee Breeden is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall Lee Breeden, DDS
2928 Hamilton Blvd, Suite 101,
Sioux City, IA 51104-2424

Ph: (712) 258-3636
Randall Lee Breeden, DDS
2928 Hamilton Blvd, Suite 101,
Sioux City, IA 51104-2424

Ph: (712) 258-3636

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Dentist in Sioux City, IA

Dr. Frank H Sargent, DDS MS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2910 Hamilton Blvd, Suite 101, Sioux City, IA 51104
Phone: 712-255-8017    Fax: 712-252-9748
Dr. Brian Bradley Bursick, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4100 Morningside Avenue, Suite B, Sioux City, IA 51106
Phone: 712-274-2038    
Dr. Thomas Leonard Tiedeman, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104
Phone: 712-255-1163    Fax: 712-252-6157
Dr. Dawn E Frein, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104
Phone: 712-255-5754    Fax: 712-224-2075
Dr. Jaicee Post, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4100 Morningside Ave, Sioux City, IA 51106
Phone: 712-274-2038    
Dr. Richard Alan Kava, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2930 Hamilton Blvd Uppr F, Suite 101, Sioux City, IA 51104
Phone: 712-258-6169    Fax: 712-258-7053
Wayne Anthony Lewis, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2114 Pierce St, Sioux City, IA 51104
Phone: 712-252-3440    Fax: 712-252-5670

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