Timothy M Theisen DMD

NPI 1003259797 - Dentist - 122300000X

NPI Details
NPI 1003259797
Gender Male
Enumeration Date 04/11/2013
Last Updated 05/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
896 E 2ND ST
JAMESTOWN NY, 14701-3826, US
Phone (716) 661-1431
Fax (716) 661-1046
Business Location
JAMESTOWN NY, 14701-2528, US
Phone (716) 661-4700
Fax (716) 485-6364
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS038461
Remove 1003259797 NPI Number

According to our database, Mr. Timothy M Theisen DMD NPI is 1003259797, taxonomy code is 122300000X and license number is DS038461, license state is located at Pennsylvania. Timothy M Theisen DMD physically located at 896 E 2nd St, Jamestown NY, 14701-3826. NPI Number Timothy M Theisen DMD has the Individual type.

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1003259797 NPI number is provided on an as is basis without warranty of any kind. 1003259797 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M Theisen DMD are for informational purposes only.