IndividualActive
Adam Tiefenbrunn, DDS
NPI 1659000289 · Dentist · Washington, MO
Provider details
- NPI number
- 1659000289
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2022020116 (MO)
Specialties & taxonomies
Dental Providers
Practice location
1515 W 5th St
Washington, MO 63090-1254
Phone: (636) 239-6611
Approximate (ZIP-level) locationGet directions
Mailing address
533 E 6th St
Washington, MO 63090-2905
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.