Individual provider · Type 1 NPI
Randel Gene Dietze, DDS
General Practice Dentistry · Oconto Falls, WI
NPI number
1457579666
Active
Practice location
256 N Main St
Oconto Falls, WI 54154-1047
Fax (920) 846-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | WI4147 (WI) |
General Practice Dentistry: 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.
About NPI 1457579666
Randel Gene Dietze, DDS's National Provider Identifier is 1457579666, issued on Apr 23, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oconto Falls, WI. The record was last updated on Jul 8, 2007.