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

DR. TIMOTHY ALLEN THEISEN, DDS, MS

Active Sole Proprietor

DR. TIMOTHY ALLEN THEISEN, DDS, MS is a Orthodontics healthcare provider located in ROCKFORD, Illinois. NPI 1700982378 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · ROCKFORD, IL

Registration Details

NPI Number
1700982378
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.874550250409 yrs)
Last Updated
Aug 25, 2007
Sole Proprietor
Yes

Practice Information

Address
6050 BRYNWOOD DR
SUITE 201
ROCKFORD, IL, 611146579
Browse IL providers · Browse ZIP 61114
Phone
8158777079
Primary Specialty
Orthodontics
1223X0400X

Other Orthodontics Providers in ROCKFORD, IL

Name Credential NPI
DR. DENNIS JOSEPH FLANAGAN D.D.S.,M.S. 1639152358
DR. DEREK SF CHENG DMD, MS 1891742896
DR. DEAN J MURPHY D.D.S. 1841381761
DR. THOMAS ALLEN DANIELS D.D.S. 1295951317
KATHRYN ASHLEY EDGCOMB D.D.S., M.S. 1609173749
DR. LINA ALSIBAIE DMD 1609326743
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.