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Craig Carl Thiede, DDS
Oral and Maxillofacial Surgery (Dentist) in Tustin, California
NPI 1528127024

Craig Carl Thiede is a Oral and Maxillofacial Surgery (Dentist) based in Tustin, CA and is specialized in Oral and Maxillofacial Surgery. Craig Carl Thiede practices in Tustin, CA and has the professional credentials of DDS. The NPI Number for Craig Carl Thiede is 1528127024 and holds a License No. 40892 (California).

The current practice location address for Craig Carl Thiede is 13522 Newport Ave Ste 109, Tustin, CA and can be reached out via phone at 714-730-6767 and via fax at 714-730-1161. You can also correspond with Craig Carl Thiede through the mailing address at 13522 NEWPORT AVE STE 109, TUSTIN, CA - 92780-3707 (mailing address contact number: 714-730-6767).

Location: 13522 Newport Ave Ste 109, Tustin, CA, 92780-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528127024
Provider Name
Craig Carl Thiede
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13522 Newport Ave Ste 109, Tustin, CA, 92780-3707
Phone Number
714-730-6767
Fax Number
714-730-1161
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B40892-01 05 CA
institution
Provider Business Practice Location Address Details
Address
13522 Newport Ave Ste 109
City
Tustin
State
California
Zip
92780-3707
Phone Number
714-730-6767
Fax Number
714-730-1161
person
Provider Business Mailing Address Details
Address
13522 Newport Ave Ste 109
City
Tustin
State
California
Zip
92780-3707
Phone Number
714-730-6767
Fax Number
714-730-1161
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
40892 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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