OrganizationActive
Gregg Liedtka DMD PLLC
NPI 1831683168 · Dentist · Odessa, WA
Gregg Liedtka DMD PLLC is a Dentist organization in Odessa, WA (NPI 1831683168).
Provider details
- NPI number
- 1831683168
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nina Stewart, Administrative Assistant(520) 431-4313
- License
- DE00008440 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 W 1st Ave
Odessa, WA 99159
Phone: (209) 982-2605
Street-level locationGet directions
Mailing address
Po Box 429
Odessa, WA 99159-0429
Other names (DBA / former)
- Doing business as
- Odessa Dental Clinic
- Doing business as
- Odessa Dental Clinic
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2018-07-03
Frequently asked questions
- What is Gregg Liedtka DMD PLLC's NPI number?
- Gregg Liedtka DMD PLLC's National Provider Identifier (NPI) is 1831683168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gregg Liedtka DMD PLLC?
- Gregg Liedtka DMD PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gregg Liedtka DMD PLLC located?
- Gregg Liedtka DMD PLLC's practice location on file with NPPES is 20 W 1st Ave, Odessa, WA 99159.
- What is Gregg Liedtka DMD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gregg Liedtka DMD PLLC is (209) 982-2605.
- Who is the authorized official for Gregg Liedtka DMD PLLC?
- The authorized official listed on Gregg Liedtka DMD PLLC's NPPES record is Nina Stewart, Administrative Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gregg Liedtka DMD PLLC's NPI active?
- Yes — Gregg Liedtka DMD PLLC's NPI (1831683168) is active in the NPPES registry as of the last update on 2018-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.