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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY MCMICHAEL THEISEN, DMD

Active

MR. TIMOTHY MCMICHAEL THEISEN, DMD is a Dentist healthcare provider located in ERIE, Pennsylvania. NPI 1003259797 is currently active in the NPPES registry. Verify at CMS.

Dentist · ERIE, PA

Registration Details

NPI Number
1003259797
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2013 (13.342300443378 yrs)
Last Updated
Aug 9, 2021
Licenses
DS038461 (PA)
DS038461 (PA)
DS038461 (PA)
DS038461 (PA)
DS038461 (PA)

Practice Information

Address
4330 PEACH ST
ERIE, PA, 165091443
Browse PA providers · Browse ZIP 16509
Phone
8143156209
Fax
8143156303
Primary Specialty
Dentist
122300000X
Additional Specialty
Endodontics
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
Additional Specialty
Dentist

Other Dentist Providers in ERIE, PA

Name Credential NPI
DR. BIJAN BIRGANI D.M.D. 1316936651
DR. HOWARD WILLIAM MILLER DDS MBA 1538159363
MARIO E. D'AURORA D.D.S. 1407834666
DR. JOEL JAY WALDMAN DMD 1215902572
DR. GERALD F GOMES 1780659060
DR. WILLIAM G SCHAEFER DMD 1033184049
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.