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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RYAN WILLIAM TIETZ, D.D.S.

Active

DR. RYAN WILLIAM TIETZ, D.D.S. is a Dentist healthcare provider located in HUDSON, Wisconsin. NPI 1760471643 is currently active in the NPPES registry. Verify at CMS.

Dentist · HUDSON, WI

Registration Details

NPI Number
1760471643
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2005 (20.849631003635 yrs)
Last Updated
Sep 15, 2009
Licenses
D11962 (MN)
6128-015 (WI)

Practice Information

Address
744 RYAN DR
HUDSON, WI, 540167979
Browse WI providers · Browse ZIP 54016
Phone
7153865400
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in HUDSON, WI

Name Credential NPI
DR. MELISSA MAE DEEG D.D.S. 1477651131
DR. JULIE MARIE LESHER DDS 1255479663
PAUL LAWTON DDS 1104023209
DR. MELVIN KEITH OLSON D.D.S. 1437315736
CHRISTOPHER BUEGE 1801181250
DR. TOM OLAF KLOSTER DDS 1295091171
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.