Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY EDWARD THEILEN, DDS
ActiveDR. JERRY EDWARD THEILEN, DDS is a Dentist healthcare provider located in CLAYCOMO, Missouri. NPI 1437342417 is currently active in the NPPES registry. Verify at CMS.
Dentist · CLAYCOMO, MO
Registration Details
- NPI Number
- 1437342417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2007 (18.96734809361 yrs)
- Last Updated
- Aug 22, 2007
- License
-
012551 (MO)
Practice Information
- Address
-
244 E US 69 HWYSUITE 101CLAYCOMO, MO, 641193115Browse MO providers · Browse ZIP 64119
- Phone
- 8164541313
- Fax
- 8164545377
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CLAYCOMO, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES BERNARD THEILEN | DDS | 1245423227 |
| MORGAN SHOCKEY | DDS | 1508273939 |
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.