Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. J DEREK TIEKEN, D.D.S.
Active Sole ProprietorDentist · LEAGUE CITY, TX
Registration Details
- NPI Number
- 1164518007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (19.544246653313 yrs)
- Last Updated
- Jan 21, 2025
- License
-
16312 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3033 MARINA BAY DR STE 230LEAGUE CITY, TX, 775733982Browse TX providers · Browse ZIP 77573
- Phone
- 2813344944
- Fax
- 2815383689
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LEAGUE CITY, TX
| Name | Credential | NPI |
|---|---|---|
| DR. GARY L GEACCONE | DDS | 1336294198 |
| DR. TIFFANI BROOKE DUNN | D.M.D. | 1437388501 |
| DR. KYLE EUGENE AARON | D,D,S | 1821228875 |
| AUSTIN N GALLANT | D.D.S. | 1376839076 |
| DR. CYNTHIA REICHARD CASTILLE | D.D.S. | 1952685984 |
| OREOLUWA ANUOLUWAPO ADEGUN | D.D.S. | 1568727576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.