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

DR. JOHN KELLY THEISEN, D.D.S.

Active

DR. JOHN KELLY THEISEN, D.D.S. is a Dentist healthcare provider located in FORT MORGAN, Colorado. NPI 1629076989 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT MORGAN, CO

Registration Details

NPI Number
1629076989
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2005 (21.070914183619 yrs)
Last Updated
Jul 8, 2007
License
106339 (CO)

Practice Information

Address
521 E RAILROAD AVE
FORT MORGAN, CO, 807013331
Browse CO providers · Browse ZIP 80701
Phone
9708672256
Fax
9705429464
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT MORGAN, CO

Name Credential NPI
DR. THOMAS JOSEPH CROGHAN DDS 1912900986
ANDREA R. FRANK DDS 1639244304
DR. CHARLES WILLIAM BELTING DDS 1962668418
MICHAEL COLLINS D.D.S. 1932535598
MARTIEZ OCTAVIUS SANDERS DDS 1982286860
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.