Individual
DR. BRANDON KENNETH TIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2362 W BOULEVARD STE B, KOKOMO, IN 46902-6081
(765) 236-1570
(765) 236-1571
Mailing address
2362 W BOULEVARD STE B, KOKOMO, IN 46902-6081
(765) 236-1570
(765) 236-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010566
IN
Other
Enumeration date
11/08/2006
Last updated
12/02/2025
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