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Tieg Bryant Selberg, DDS
Pediatric Dentist in Glen Carbon, Illinois
NPI 1831489954

Tieg Bryant Selberg is a Pediatric Dentist based in Glen Carbon, IL and is specialized in Pediatric Dentistry. Tieg Bryant Selberg practices in Glen Carbon, IL and has the professional credentials of DDS. The NPI Number for Tieg Bryant Selberg is 1831489954 and holds a License No. 021.002920 (Illinois).

The current practice location address for Tieg Bryant Selberg is 116 Magnolia Dr, Glen Carbon, IL and can be reached out via phone at 618-288-5437.

Location: 116 Magnolia Dr, Glen Carbon, IL, 62034-2928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831489954
Provider Name
Tieg Bryant Selberg
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
116 Magnolia Dr, Glen Carbon, IL, 62034-2928
Phone Number
618-288-5437
Fax Number
Provider Enumeration Date
04/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 Magnolia Dr
City
Glen Carbon
State
Illinois
Zip
62034-1595
Phone Number
618-288-5437
Fax Number
person
Provider Business Mailing Address Details
Address
116 Magnolia Dr
City
Glen Carbon
State
Illinois
Zip
62034-1595
Phone Number
618-288-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
021.002920 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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