Dr. Larry G Tiedje is a Sioux City, Iowa 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. Larry G Tiedje is 05957 for General Practice Dentistry in Iowa. His current practice location is 2410 Pierce St, Sioux City. Patients can reach him at 712-255-9056.
Dr. Larry G Tiedje 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. Larry G Tiedje 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. Larry G Tiedje
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2410 Pierce St, Sioux City, Iowa, 51104-3724
Phone:
712-255-9056
Fax:
712-255-1526
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:
1821046897
NPI Enumeration Date:
04 May, 2006
NPI Last Update On:
09 Jul, 2007
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. Larry G Tiedje are as mentioned below.
License Number
Specialization
State
Status
05957
General Practice Dentistry
Iowa
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry G Tiedje such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
099-853
Other
Iowa
DELTA DENTAL IOWA
0087882
Medicaid
Iowa
702-363
Other
Iowa
TRICARE PROVIDER #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2006 Peachtree Ct, Sioux City, Iowa
Zip:
51104-1747
Phone Number:
712-252-4013
Patients can reach Dr. Larry G Tiedje at 2410 Pierce St, Sioux City, Iowa or can call to book an appointment on 712-255-9056. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.