Jeremey J Thietten D.D.S.

NPI 1679743082 - Dentist - 122300000X

NPI Details
NPI 1679743082
Gender Male
Enumeration Date 03/03/2008
Last Updated 04/03/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
924 S LINCOLN AVE
LAKEVIEW MI, 48850-9174, US
Phone (989) 352-6477
Fax (989) 352-8348
Business Location
924 S LINCOLN AVE
PO BOX 530
LAKEVIEW MI, 48850-9174, US
Phone (989) 352-6477
Fax (989) 352-8348
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 5315032828
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According to our database, Dr. Jeremey J Thietten D.D.S. NPI is 1679743082, taxonomy code is 122300000X and license number is 5315032828, license state is located at Michigan. Jeremey J Thietten D.D.S. physically located at 924 S Lincoln Ave, Lakeview MI, 48850-9174. NPI Number Jeremey J Thietten D.D.S. has the Individual type.

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1679743082 NPI number is provided on an as is basis without warranty of any kind. 1679743082 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremey J Thietten D.D.S. are for informational purposes only.