Sebastian Tietze, DDS is a
Dentist - General Practice based in Newkirk746, Oklahoma. Sebastian Tietze is licensed to practice in Oklahoma (license number 6447) and his current practice location is
716 S Hwy 77, Newkirk746, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 362-2555.
NPI number for Sebastian Tietze is 1548511454 and his current mailing address is 212 N Main St, Fairfax, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548511454.
Healthcare Provider's Profile
| Full Name | Sebastian Tietze |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 716 S Hwy 77, Newkirk746, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548511454
- Provider Enumeration Date: 10/02/2012
- Last Update Date: 06/07/2013
Medical Identifiers
Medical identifiers for Sebastian Tietze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548511454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 6447 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sebastian Tietze is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sebastian Tietze, DDS
212 N Main St,
Fairfax, OK 74637-3023
Ph: (918) 642-3100 | Sebastian Tietze, DDS
716 S Hwy 77,
Newkirk746, OK 74647-5525
Ph: (580) 362-2555 |
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