Thomas Leonard Tiedeman in Sioux City - General Practice
Thomas Leonard Tiedeman - NPI 1063553410
Thomas Leonard Tiedeman is a General Practice in Sioux City, Iowa. Thomas Leonard Tiedeman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Leonard Tiedeman is 1063553410. The last update date is 2007-07-08.
Thomas Leonard Tiedeman's current location address is 2918 Hamilton Blvd, Sioux City, Iowa. You can contact this provider via phone number 7122551163 and fax number 7122526157. The mailing address for Thomas Leonard Tiedeman is 2918 Hamilton Blvd, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Leonard Tiedeman |
|---|---|
| Address | 2918 Hamilton Blvd, Sioux City, Iowa |
| Phone Number | 7122551163 |
| Fax Number | 7122526157 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063553410 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2918 Hamilton Blvd |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 51104 |
| Phone Number | 7122551163 |
| Fax Number | 7122526157 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5944 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55947 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas Leonard Tiedeman by the Centers for Medicare & Medicaid Services?
The Thomas Leonard Tiedeman has been assigned the NPI (National Provider Identifier) 1063553410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Thomas Leonard Tiedeman's physical address?
The Thomas Leonard Tiedeman is physically located at 2918 Hamilton Blvd, in the city of Sioux City, IA, with the postal code 51104.
What is the Thomas Leonard Tiedeman's area of specialization and corresponding taxonomy classification?
The Thomas Leonard Tiedeman's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1063553410 to Thomas Leonard Tiedeman?
The Thomas Leonard Tiedeman received its 1063553410 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the details related to Thomas Leonard Tiedeman most recently updated or revised?
The information pertaining to Thomas Leonard Tiedeman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.