Individual provider · Type 1 NPI

Eric P. Liedtke, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Franklin, WI

NPI number 1245398924 Active

Practice location

6855 S 27th St
Franklin, WI 53132-8045

Mailing address

11711 W Burleigh St
Wauwatosa, WI 53222-3196

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X1001971 (WI)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021001663 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1245398924

Eric P. Liedtke, DDS's National Provider Identifier is 1245398924, issued on Dec 5, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Franklin, WI. The record was last updated on Nov 17, 2023.