Organization · Type 2 NPI

Gregg Liedtka DMD PLLC

Dentist · Odessa, WA

NPI number 1831683168 Active

Practice location

20 W 1st Ave
Odessa, WA 99159

Call (209) 982-2605 Map

Mailing address

PO Box 429
Odessa, WA 99159-0429

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DE00010090 (WA)
Dentist	122300000X	DE00008440 (WA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

NPI record

NPI: 1831683168
Entity type: Organization (Type 2)
Issued: Jun 20, 2018
Last updated: Jul 3, 2018
Status: Active

Other names

<unavail>
Odessa Dental Clinic · doing business as
Odessa Dental Clinic · doing business as

Authorized official

Mrs. Nina Stewart
Administrative Assistant
(520) 431-4313

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831683168

Gregg Liedtka DMD PLLC's National Provider Identifier is 1831683168, issued on Jun 20, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Odessa, WA. The record was last updated on Jul 3, 2018.