Jeff Theis DMD, MSD

NPI 1689805582 - Dentist - 1223X0400X

NPI Details
NPI 1689805582
Gender Male
Enumeration Date 07/27/2009
Last Updated 03/20/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
435 WILLARD AVE
NEWINGTON CT, 06111-2318, US
Phone (860) 666-2009
Fax
Business Location
435 WILLARD AVE
NEWINGTON CT, 06111-2318, US
Phone (860) 666-2009
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Washington
License Number DE00009909
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According to our database, Dr. Jeff Theis DMD, MSD NPI is 1689805582, taxonomy code is 1223X0400X and license number is DE00009909, license state is located at Washington. Jeff Theis DMD, MSD physically located at 435 Willard Ave, Newington CT, 06111-2318. NPI Number Jeff Theis DMD, MSD has the Individual type.

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1689805582 NPI number is provided on an as is basis without warranty of any kind. 1689805582 is maintained by the National Plan & Provider Enumeration System. The contents of Jeff Theis DMD, MSD are for informational purposes only.