Dr. Gregg A Liedtka is a Moses Lake, Washington based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gregg A Liedtka is DE00010090 for General Practice Dentistry in Washington. His current practice location is 605 S Coolidge St, Moses Lake. Patients can reach him at 509-765-0674.
Dr. Gregg A Liedtka is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gregg A Liedtka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gregg A Liedtka
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
605 S Coolidge St, Moses Lake, Washington, 98837
Phone:
509-765-0674
Fax:
506-765-6591
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 are as mentioned below.
NPI Number:
1619044286
NPI Enumeration Date:
29 Nov, 2006
NPI Last Update On:
21 Jun, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gregg A Liedtka are as mentioned below.
License Number
Specialization
State
Status
DE00010090
General Practice Dentistry
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gregg A Liedtka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5048210
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2034 E 63rd Ave, Spokane, Washington
Zip:
99223-8436
Phone Number:
509-855-3946
Patients can reach Dr. Gregg A Liedtka at 605 S Coolidge St, Moses Lake, Washington or can call to book an appointment on 509-765-0674. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.