Thomas Leonard Tiedeman, DDS

General Practice Dentistry · Sioux City, IA

Individual Active NPI

NPI number 1063553410

Practice location

2918 Hamilton Blvd
Upper D Suite 1
Sioux City, IA 51104
Phone
(712) 255-1163
Fax
(712) 252-6157

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NPI record

NPI
1063553410
Entity type
Individual (Type 1)
Enumeration date
February 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 05944 IA

About Dr. Tiedeman

Thomas Leonard Tiedeman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104. The NPI number 1063553410 was assigned on February 9, 2007 and the record was last updated on July 8, 2007.

Dr. Tiedeman lists a license in the registry: #05944 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Leonard Tiedeman, DDS?

The NPI number is 1063553410.

What is the phone number of Dr. Tiedeman?

The phone number listed for the practice location is (712) 255-1163.

Where is Dr. Tiedeman located?

2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104.

What is the taxonomy code for Dr. Tiedeman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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