Individual provider · Type 1 NPI

Kiiri Tamm Tietjens, DDS

Oral and Maxillofacial Surgery (Dentist) · Bourbonnais, IL

NPI number 1659435253 Active

Practice location

750 Almar Pkwy, Suite 102
Bourbonnais, IL 60914-2315

Call (815) 939-7136 Map

Fax (815) 939-9820

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1659435253

Kiiri Tamm Tietjens, DDS's National Provider Identifier is 1659435253, issued on Dec 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bourbonnais, IL. The record was last updated on Jul 8, 2007.