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ODESSA DENTAL CLINIC
NPI 1831683168
Dentist in Odessa, WA

Active since June 20, 2018
20 W 1ST AVE, ODESSA, WA 99159(209) 982-2605 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About Odessa Dental Clinic NPPES

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

ODESSA DENTAL CLINIC (NPI 1831683168) is a healthcare organization registered as a dentist in Odessa, Washington and active in the NPI registry since June 2018. The organization lists Nina Stewart, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1831683168
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREGG LIEDTKA DMD PLLC
Location Address20 W 1ST AVEOdessa, WA 99159
Mailing AddressPo Box 429Odessa, WA 99159-0429 · (509) 982-2605
Phone(209) 982-2605
Organization SubpartNo
Authorized OfficialNina StewartAdministrative Assistant · (520) 431-4313
Enumeration DateJune 20, 2018
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
✔ NPI 1831683168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · DE00010090✔ Licensed in WA · DE00008440
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
20 W 1ST AVE, Odessa, WA 99159
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Other Names 1

Doing Business AsOdessa Dental Clinic

Other Identifiers 1

Other604262185WA · State Of Washington Ubi

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Gregg Liedtka Dmd PLLC's NPI number?

The NPI number for Gregg Liedtka Dmd PLLC is 1831683168. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider is doing business as Odessa Dental Clinic.

Where is Gregg Liedtka Dmd PLLC located?

Gregg Liedtka Dmd PLLC is located at 20 W 1st Ave, Odessa, WA 99159. The listed phone number is (209) 982-2605.

What is Gregg Liedtka Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Gregg Liedtka Dmd PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Gregg Liedtka Dmd PLLC 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 Gregg Liedtka Dmd PLLC was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.