Theis, David Alan
Theis, David Alan is an sole proprietor health care provider with primary practice located at 1674 Providence Blvd , Deltona FL 32725-4961. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Theis, David Alan can be contacted via phone (386) 789-5100.Contact Information
Primary practice address
1674 Providence Blvd
Deltona FL 32725-4961
Phone: (386) 789-5100
Fax: (386) 789-5116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 5671 | Florida |
Profile Details
| NPI number | 1902907843 |
|---|---|
| LBN Legal business name | Theis, David Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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