Theis, Jeff
Theis, Jeff is an individual health care provider with primary practice located at 435 Willard Ave , Newington CT 06111-2318. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Theis, Jeff can be contacted via phone (860) 666-2009.Contact Information
Primary practice address
435 Willard Ave
Newington CT 06111-2318
Phone: (860) 666-2009
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DE00009909 | Washington |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 009054 | Connecticut |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 055860 | New York |
Profile Details
NPI number | 1689805582 |
---|---|
LBN Legal business name | Theis, Jeff |
Credentials | DMD, MSD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2009 |
Last updated | Mar 20th, 2013 - about 12 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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