Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIEG BRYANT SELBERG, DDS
ActiveTIEG BRYANT SELBERG, DDS is a Pediatric Dentistry healthcare provider located in GLEN CARBON, Illinois. NPI 1831489954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GLEN CARBON, IL
Registration Details
- NPI Number
- 1831489954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2011 (15.38564153693 yrs)
- Last Updated
- Dec 13, 2021
- License
-
021.002920 (IL)
Practice Information
- Address
-
116 MAGNOLIA DRGLEN CARBON, IL, 620341595Browse IL providers · Browse ZIP 62034
- Phone
- 6182885437
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.