Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGG LIEDTKA DMD PLLC
Active OrganizationGREGG LIEDTKA DMD PLLC is a Dentist organization located in ODESSA, Washington. NPI 1831683168 is currently active in the NPPES registry. Verify at CMS.
Dentist · ODESSA, WA
Registration Details
- NPI Number
- 1831683168
- Provider Type
- Organization
- NPI Issued
- Jun 20, 2018 (8.1480781926872 yrs)
- Last Updated
- Jul 3, 2018
- Licenses
-
DE00008440 (WA)DE00010090 (WA)
Practice Information
- Address
-
20 W 1ST AVEODESSA, WA, 99159Browse WA providers · Browse ZIP 99159
- Phone
- 2099822605
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.