| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TAMMY SUE RHEA-BOHNENKAMP | 1356369516 | 2024-09-07 |
Tammy Sue Rhea-bohnenkamp is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356369516. Registration indicates Tammy Sue Rhea-bohnenkamp is a provider of services with a specialization in Dentist Orofacial Pain, Dental Providers Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Oral and Maxillofacial Surgery, ) (Dental, ) (Dentist Oral and Maxillofacial Surgery, Dental Providers) (Dentist, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Tammy Sue Rhea-bohnenkamp D.D.S. |
| Other Provider Name | Dr. Tammy Rhea |
| Practice Office Address | 2730 PIERCE ST STE 202 SIOUX CITY, IA US |
| Practice Office Telephone | 1278999704 |
| Practice Office Fax | 8334632318 |
| Mailing Address | 2730 PIERCE ST STE 202 SIOUX CITY, IA 511043764 US |
| Business Telephone | 7128999704 |
| Business Fax | 8334632318 |
| Code | Practice | License No State |
|---|---|---|
| 1223X2210X | Dentist Orofacial Pain Dental Providers | 07433
IA |
| 1223S0112X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Oral and Maxillofacial Surgery Dental Dentist Oral and Maxillofacial Surgery Dental Providers Dentist | 07433
IA |
| 193200000X MULT | Group Code |