Individual provider · Type 1 NPI
Tieg Bryant Selberg, DDS
Pediatric Dentistry · Glen Carbon, IL
NPI number
1831489954
Active
Practice location
116 Magnolia Dr
Glen Carbon, IL 62034-1595
Mailing address
5 Abbey Rd
Glen Carbon, IL 62034-2928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021.002920 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Glen Carbon
About NPI 1831489954
Tieg Bryant Selberg, DDS's National Provider Identifier is 1831489954, issued on Apr 11, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Glen Carbon, IL. The record was last updated on Dec 13, 2021.