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Dr. Larry G Tiedje, DDS
General Practice Dentistry in Sioux City, Iowa
NPI 1821046897

Larry G Tiedje is a General Practice Dentistry based in Sioux City, IA and is specialized in General Practice. Larry G Tiedje practices in Sioux City, IA and has the professional credentials of DDS. The NPI Number for Larry G Tiedje is 1821046897 and holds a License No. 05957 (Iowa).

The current practice location address for Larry G Tiedje is 2410 Pierce St, Sioux City, IA and can be reached out via phone at 712-255-9056 and via fax at 712-255-1526.

Location: 2410 Pierce St, Sioux City, IA, 51104-1747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821046897
Provider Name
Larry G Tiedje
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2410 Pierce St, Sioux City, IA, 51104-1747
Phone Number
712-255-9056
Fax Number
712-255-1526
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
099-853 01 IA DELTA DENTAL IOWA
0087882 05 IA
702-363 01 IA TRICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2410 Pierce St
City
Sioux City
State
Iowa
Zip
51104-3724
Phone Number
712-255-9056
Fax Number
712-255-1526
person
Provider Business Mailing Address Details
Address
2410 Pierce St
City
Sioux City
State
Iowa
Zip
51104-3724
Phone Number
712-255-9056
Fax Number
712-255-1526
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
05957 (Iowa)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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