Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619044286 Individual Practitioner Male Practitioner

Dr. Gregg A Liedtka , DMD

Dentist - General Practice • Moses Lake, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gregg Liedtka, DMD is a registered healthcare professional specializing in Dentist - General Practice in Moses Lake, WA. Practice services are available at 605 S COOLIDGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

605 S Coolidge St

Moses Lake, WA 98837

Telephone 5097650674
Fax 5067656591
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Moses Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Moses Lake, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010090

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5048210 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Francie Trowbridge , ARNP

Nurse Practitioner

NPI 1013567759

Advanced Registered Nurse Practitioner

NPI 1023412293

Doctor of Dental Surgery

NPI 1023740990

Doctor of Dental Surgery

Chloe Kesterson , PA-C

Physician Assistant

NPI 1033874144

Physician Assistant (Certified)

NPI 1053479279

Doctor of Dental Medicine

NPI 1053799981

Master of Science, Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 21, 2018

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 98837 (Tel: 5097650674)

📍
Updated Business Mailing Address June 21, 2018

Registered at 2034 E 63RD AVE, SPOKANE, WA 992238436 (Tel: 5098553946)

NPI Profile Active October 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2010

Registered at 605 S COOLIDGE ST, MOSES LAKE, WA 988371893 (Tel: 5097650674)

📍
Updated Business Mailing Address October 29, 2010

Registered at 1502 JUDITH ST, MOSES LAKE, WA 988374635 (Tel: 5097661222)

👤
Provider Name / Credentials Updated October 29, 2010

Recorded as GREGG LIEDTKA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2010

Dentist (License #DE00010090 in WA)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gregg Liedtka. Be the first to share your experience!

Sign in to leave a review for Dr. Gregg Liedtka

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619044286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: June 21, 2018
Sole Proprietor: No

Mailing Address

2034 E 63rd Ave

Spokane, WA 992238436

Phone: 5098553946

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.