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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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