National Provider Identifier Database

THOMAS L TIEDEMAN, DDS – NPI #1063553410
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

THOMAS L TIEDEMAN, DDS
2918 HAMILTON BLVD
UPPER D SUITE 1
SIOUX CITY, IA51104
Phone: 712-255-1163
Fax: 712-252-6157
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for THOMAS L TIEDEMAN

NPI Number 1063553410
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 05944
  • IA Medicaid: 0055947
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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