Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEBASTIAN TIETZE, DDS
ActiveSEBASTIAN TIETZE, DDS is a General Dentistry healthcare provider located in NEWKIRK746, Oklahoma. NPI 1548511454 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEWKIRK746, OK
Registration Details
- NPI Number
- 1548511454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2012 (13.880712384686 yrs)
- Last Updated
- Jun 7, 2013
- License
-
6447 (OK)
Practice Information
- Address
-
716 S HWY 77NEWKIRK746, OK, 746475525Browse OK providers · Browse ZIP 74647
- Phone
- 5803622555
- Fax
- 5803622948
- Primary Specialty
-
General Dentistry
1223G0001X
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.