TIEG BRYANT SELBERG DDS
NPI 1831489954
Dentist - Pediatric Dentistry in Glen Carbon, IL

Q: What is Tieg Selberg's NPI number?

The NPI number for Tieg Selberg is 1831489954. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Tieg Selberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Tieg Selberg was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2011

116 MAGNOLIA DR, GLEN CARBON, IL 62034(618) 288-5437 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Feb 2, 2016 (2 updates tracked since 2016).

On this page

About Tieg Bryant Selberg Dds NPPES

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

TIEG BRYANT SELBERG DDS (NPI 1831489954) is an individual pediatric dentistry provider in Glen Carbon, Illinois, licensed in Illinois (021.002920) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1831489954

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameTIEG BRYANT SELBERGCredential: DDS

Location Address116 MAGNOLIA DRGlen Carbon, IL 62034-1595

Mailing Address5 Abbey RdGlen Carbon, IL 62034-2928 · (612) 203-1034

Phone(618) 288-5437

Sole ProprietorNo

Enumeration DateApril 11, 2011

Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration

NPPES CertifiedDecember 13, 2021

✔ NPI 1831489954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 021.002920

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

116 MAGNOLIA DR, Glen Carbon, IL 62034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Tieg Selberg's NPI number?

The NPI number for Tieg Selberg is 1831489954. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Tieg Selberg located?

Tieg Selberg practices at 116 Magnolia Dr, Glen Carbon, IL 62034. The listed phone number is (618) 288-5437.

What is Tieg Selberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Tieg Selberg accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Tieg Selberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tieg Selberg was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.