DR. THOMAS LEONARD TIEDEMAN DDS
NPI 1063553410
Dentist - General Practice in Sioux City, IA

Active since February 09, 2007
2918 HAMILTON BLVD, UPPER D SUITE 1, SIOUX CITY, IA 51104(712) 255-1163(712) 252-6157 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Leonard Tiedeman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS LEONARD TIEDEMAN DDS (NPI 1063553410) is an individual general practice provider in Sioux City, Iowa, licensed in Iowa (05944) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063553410
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS LEONARD TIEDEMANCredential: DDS
Location Address2918 HAMILTON BLVD, UPPER D SUITE 1Sioux City, IA 51104
Mailing Address2918 Hamilton Blvd, Upper D Suite 1Sioux City, IA 51104 · (712) 255-1163 · Fax (712) 252-6157
Fax(712) 252-6157
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063553410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 05944
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.
2918 HAMILTON BLVD, Sioux City, IA 51104

Other Identifiers 1

Medicaid0055947IA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2918 HAMILTON BLVD, SUITE 101
SIOUX CITY, IA 51104
Internal Medicine (Infectious Disease)
2918 HAMILTON BLVD, UPPER D SUITE 103
SIOUX CITY, IA 51104
Dentist (General Practice)
2918 HAMILTON BLVD, SUITE 1
SIOUX CITY, IA 51104
Dentist (General Practice)
2918 HAMILTON BLVD
SIOUX CITY, IA 51104
Clinic/Center
2918 HAMILTON BLVD, BLDG D, STE 102
SIOUX CITY, IA 51104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Tiedeman's NPI number?

The NPI number for Thomas Tiedeman is 1063553410. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Thomas Tiedeman located?

Thomas Tiedeman practices at 2918 Hamilton Blvd Upper D Suite 1, Sioux City, IA 51104. The listed phone number is (712) 255-1163.

What is Thomas Tiedeman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Thomas Tiedeman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.