Ryan William Tietz, D.D.S.

Dentist · Hudson, WI

Individual Active NPI

NPI number 1760471643

Practice location

744 Ryan Dr
Hudson, WI 54016-7979
Phone
(715) 386-5400

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NPI record

NPI
1760471643
Entity type
Individual (Type 1)
Enumeration date
October 13, 2005
Last updated
September 15, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6128-015 WI
Dentist 122300000X D11962 MN

Mailing address

444 Whitetail Pass
Hudson, WI 54016-7748
Phone
(715) 808-0404

About Dr. Tietz

Ryan William Tietz, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 744 Ryan Dr, Hudson, WI 54016-7979. The NPI number 1760471643 was assigned on October 13, 2005 and the record was last updated on September 15, 2009.

Dr. Tietz lists 2 licenses in the registry: #6128-015 (WI) for Dentist; #D11962 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan William Tietz, D.D.S.?

The NPI number is 1760471643.

What is the phone number of Dr. Tietz?

The phone number listed for the practice location is (715) 386-5400.

Where is Dr. Tietz located?

744 Ryan Dr, Hudson, WI 54016-7979.

What is the taxonomy code for Dr. Tietz?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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