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

DR. JASON ALLEN THIEL, DDS

Active

DR. JASON ALLEN THIEL, DDS is a Dentist healthcare provider located in MISHICOT, Wisconsin. NPI 1407867773 is currently active in the NPPES registry. Verify at CMS.

Dentist · MISHICOT, WI

Registration Details

NPI Number
1407867773
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2006 (20.050668505559 yrs)
Last Updated
Jul 8, 2007
License
5096-015 (WI)

Practice Information

Address
105 N PARK LN
MISHICOT, WI, 542289537
Browse WI providers · Browse ZIP 54228
Phone
9207552336
Fax
9207554930
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MISHICOT, WI

Name Credential NPI
DR. RONALD JOHN LESE DDS 1760493050
ERIN LASSLO DDS 1245411099
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.