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
Fax: (386) 789-5116
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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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