Individual
CRAIG CARL THIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13522 NEWPORT AVE STE 109, TUSTIN, CA 92780-3707
(714) 730-6767
(714) 730-1161
Mailing address
13522 NEWPORT AVE STE 109, TUSTIN, CA 92780-3707
(714) 730-6767
(714) 730-1161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B40892-01
—
CA
Enumeration date
12/08/2006
Last updated
03/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us