Individual provider · Type 1 NPI

Gregg A. Liedtka, DMD

General Practice Dentistry · Moses Lake, WA

NPI number 1619044286 Active

Practice location

605 S Coolidge St
Moses Lake, WA 98837

Call (509) 765-0674 Map

Fax (506) 765-6591

Mailing address

2034 E 63rd Ave
Spokane, WA 99223-8436

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00010090 (WA)

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.

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About NPI 1619044286

Gregg A. Liedtka, DMD's National Provider Identifier is 1619044286, issued on Nov 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moses Lake, WA. The record was last updated on Jun 21, 2018.