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KIIRI TAMM TIETJENS DDS
NPI 1659435253
Dentist - Oral and Maxillofacial Surgery in Bourbonnais, IL

Active since December 20, 2006
750 ALMAR PKWY, SUITE 102, BOURBONNAIS, IL 60914(815) 939-7136(815) 939-9820 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiiri Tamm Tietjens Dds NPPES

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

KIIRI TAMM TIETJENS DDS (NPI 1659435253) is an individual oral and maxillofacial surgery provider in Bourbonnais, Illinois and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1659435253
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameKIIRI TAMM TIETJENSCredential: DDS
Location Address750 ALMAR PKWY, SUITE 102Bourbonnais, IL 60914-2315
Mailing Address750 Almar Pkwy, Suite 102Bourbonnais, IL 60914-2315 · (815) 939-7136 · Fax (815) 939-9820
Phone(815) 939-7136
Fax(815) 939-9820
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659435253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
750 ALMAR PKWY, Bourbonnais, IL 60914
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Other Providers at the Same Location NPPES 15

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

MR. JUSTIN MICHAEL STEULLET
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
FREDERICK P WALDSCHMIDT D.D.S.
Dentist (General Practice)
750 ALMAR PKWY, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 932-5221
UNITED SURGICAL ASSISTANTS, INC
Specialist/Technologist, Other (Surgical Technologist)
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
DR. JAMES MATTHEW ADAMS DDS
Dentist (Oral and Maxillofacial Surgery)
750 ALMAR PKWY, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7136
NATURAL HEALTH REMEDIES, LLC
In Home Supportive Care
750 ALMAR PKWY, SUITE 200
BOURBONNAIS, IL 60914
Kankakee County (815) 401-5527
MR. JAMES ROBERT CONERTY III RSA
750 ALMAR PKWY, SUITE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 933-3955
MS. MARGARET M. BRENT L.C.P.C.
Counselor (Professional)
750 ALMAR PKWY, STE 205
BOURBONNAIS, IL 60914
Kankakee County (815) 507-6300
MRS. LAURA E. DEYOUNG LCPC
Counselor (Professional)
750 ALMAR PKWY
BOURBONNAIS, IL 60914
Kankakee County (815) 768-6545

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 Kiiri Tietjens's NPI number?

The NPI number for Kiiri Tietjens is 1659435253. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Kiiri Tietjens located?

Kiiri Tietjens practices at 750 Almar Pkwy Suite 102, Bourbonnais, IL 60914. The listed phone number is (815) 939-7136.

What is Kiiri Tietjens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kiiri Tietjens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.