DR. RANDEL GENE DIETZE D.D.S. NPI 1457579666

NPI Information

  • NPI: 1457579666
  • Provider Name: DR. RANDEL GENE DIETZE, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 256 N MAIN ST
    OCONTO FALLS, WI
    ZIP 54154
  • Phone: (920) 846-3841

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NPI Details

DR. Randel Gene Dietze, D.D.S. is a general practice dentist in Oconto Falls, WI. The provider is 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. DR. Randel Gene Dietze, D.D.S. NPI is 1457579666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

256 N MAIN ST
OCONTO FALLS, WI
ZIP 54154-047
Phone: (920) 846-3841
Fax: (920) 846-3858

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeWI4147WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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