Individual provider · Type 1 NPI

Kielan Dietrich, DMD

Dentist · Tahlequah, OK

NPI number 1992690812 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Call (539) 234-1000 Map

Mailing address

2469 E Kaibab Pl
Chandler, AZ 85249-2969

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X8114 (OK)

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…

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About NPI 1992690812

Kielan Dietrich, DMD's National Provider Identifier is 1992690812, issued on Jun 11, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tahlequah, OK. The record was last updated on Mar 25, 2026.