MR. TIMOTHY THEISEN, DMD

Dentist

Active Individual
NPI: 1003259797

Practice Address

4330 PEACH ST
Erie, PA 16509

Phone: (814) 315-6209

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No DS038461 (PA)
Dentist - Endodontics 1223E0200X No DS038461 (PA)
Dentist - Pediatric Dentistry 1223P0221X No DS038461 (PA)
Dentist - Prosthodontics 1223P0700X No DS038461 (PA)
Dentist 122300000X Yes DS038461 (PA)

Frequently Asked Questions

NPI 1003259797 is the National Provider Identifier for MR. TIMOTHY THEISEN, DMD, a Dentist provider located in Erie, PA. This NPI was enumerated on April 11, 2013.
MR. TIMOTHY THEISEN, DMD practices at 4330 PEACH ST, Erie, PA 16509.

Quick Facts

NPI
1003259797
Type
Individual
Enumerated
Apr 11, 2013
Last Updated
Aug 9, 2021

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