Tietz, Ryan William

Tietz, Ryan William is an individual health care provider with primary practice located at 744 Ryan Dr , Hudson WI 54016-7979. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tietz, Ryan William can be contacted via phone (715) 386-5400.

Contact Information

Primary practice address
744 Ryan Dr Hudson WI 54016-7979
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11962 Minnesota
Dental Providers / Dentist 122300000X 6128-015 Wisconsin

Profile Details

NPI number 1760471643
LBN Legal business name Tietz, Ryan William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 15th, 2009 - about 17 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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