DR. MARIA TIEFENBACH DMD NPI 1619909892

NPI Information

NPI: 1619909892
Provider Name: DR. MARIA TIEFENBACH, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3435 S ALAMEDA ST STE A
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 853-0381
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DR. Maria Tiefenbach, DMD is a pediatric dentistry dentist in Corpus Christi, TX. The provider is 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. DR. Maria Tiefenbach, DMD NPI is 1619909892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3435 S ALAMEDA ST STE A
CORPUS CHRISTI, TX
ZIP 78411-797
Phone: (361) 853-0381
Fax: (361) 992-1862

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/7/2010.

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
1	1223G0001X	Dentist	General Practice	21454	TEXAS	No
2	1223P0221X	Dentist	Pediatric Dentistry	21454	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	741872599	OTHER	TEXAS	GROUP TIN
2	159673601	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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