# CRAIG C. THIEDE DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841892148
- **Authorized official:** MS. CRAIG THIEDE (OFFICE MANAGER)
- **Authorized official phone:** (714) 730-6767

## Contact information

- **Practice address:** 13132 NEWPORT AVE STE 230, TUSTIN, CA 92780-3429
- **Practice address phone:** (714) 730-6767
- **Practice address fax:** (714) 730-1161
- **Mailing address:** 13132 NEWPORT AVE STE 230, TUSTIN, CA 92780-3429
- **Mailing address phone:** (714) 730-6767
- **Mailing address fax:** (714) 730-1161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 02/24/2023