Tieken, J Derek

Tieken, J Derek is an sole proprietor health care provider with primary practice located at 3023 Marina Bay Dr #105, League City TX 77573-2874. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tieken, J Derek can be contacted via phone (281) 334-4944.

Contact Information

Primary practice address
3023 Marina Bay Dr #105 League City TX 77573-2874
Phone: (281) 334-4944
Fax: (281) 538-3689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16312 Texas

Profile Details

NPI number 1164518007
LBN Legal business name Tieken, J Derek
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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