Gregg Liedtka Dmd Pllc is a Dental Clinic in Odessa, Washington. It is located at 20 W 1st Ave, Odessa, WA and its contact number is 209-982-2605. The authorized person for Gregg Liedtka Dmd Pllc is Mrs. Nina Stewart
who is Administrative Assistant of the clinic and their contact number is 520-431-4313. The primary license number for Gregg Liedtka Dmd Pllc is DE00010090 (Dentist) in Washington. Gregg Liedtka Dmd Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Gregg Liedtka Dmd Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Gregg Liedtka Dmd Pllc
Specialization:
Dentistry
Clinic Address:
20 W 1st Ave, Odessa, Washington, 99159
Phone:
209-982-2605
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Nina Stewart
Position:
Administrative Assistant
Contact Number:
520-431-4313
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Gregg Liedtka Dmd Pllc clinic are as mentioned below.
NPI Number:
1831683168
NPI Enumeration Date:
20 Jun, 2018
NPI Last Update On:
03 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregg Liedtka Dmd Pllc are as mentioned below.
Specialization
License Number
State
Status
Dentist
DE00010090
Washington
Primary
Dentist
DE00008440
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
604262185
Other
Washington
State Of Washington Ubi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gregg Liedtka Dmd Pllc Po Box 429, Odessa, Washington
Zip:
99159-0429
Phone Number:
509-982-2605
Patients can reach Gregg Liedtka Dmd Pllc at 20 W 1st Ave, Odessa, Washington or can call to book an appointment on 209-982-2605. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.