Tiefenbach, Maria

Tiefenbach, Maria is an individual health care provider with primary practice located at 3435 S Alameda St Ste A , Corpus Christi TX 78411-1797. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Tiefenbach, Maria can be contacted via phone (361) 853-0381.

Contact Information

Primary practice address
3435 S Alameda St Ste A Corpus Christi TX 78411-1797
Phone: (361) 853-0381
Fax: (361) 992-1862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21454 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 21454 Texas

Profile Details

NPI number 1619909892
LBN Legal business name Tiefenbach, Maria
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 7th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619909892 NPPES
Texas MEDICAID 159673601

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