Mr. Timothy Mcmichael Theisen
Dentist Endodontist Pediatric Dentist Prosthodontist and 1 more
4330 Peach St
Erie
, Pennsylvania 16509-1443
Mr. Timothy Mcmichael Theisen
Dentist Endodontist Pediatric Dentist Prosthodontist and 1 more
4330 Peach St
Erie
, Pennsylvania 16509-1443
(814) 315-6303
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About
Features
Specialties
- Dentist
- Endodontist
- General Practice
- Pediatric Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Mr. Timothy Mcmichael Theisen
- 4330 Peach St
- Erie, PA
- Zip : 16509-1443
- Fax : (814) 315-6303
- Phone : (814) 315-6209
Second Address
- Mr. Timothy Mcmichael Theisen
- 4330 Peach St
- Erie, PA
- Zip : 16509-1443
- Fax : (814) 315-6303
- Phone : (814) 315-6209
Reviews
FAQs
Where did Mr. Timothy Mcmichael Theisen attend graduate school?
Where did Mr. Timothy Mcmichael Theisen do his residency?
Where did Mr. Timothy Mcmichael Theisen do his fellowship?
Is Mr. Timothy Mcmichael Theisen board certified?
What type of doctor is Mr. Timothy Mcmichael Theisen
In what state does Mr. Timothy Mcmichael Theisen practice in?
Where is Mr. Timothy Mcmichael Theisen ’s practice located?
What is Mr. Timothy Mcmichael Theisen ’s gender?
Is Mr. Timothy Mcmichael Theisen a sole practitioner?
Is Mr. Timothy Mcmichael Theisen accepting new patients?
What languages does Mr. Timothy Mcmichael Theisen speak?
Does Mr. Timothy Mcmichael Theisen accept insurance?
Does Mr. Timothy Mcmichael Theisen offers telemedicine?
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What is Mr. Timothy Mcmichael Theisen ’s NPI number?
Does Mr. Timothy Mcmichael Theisen have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | DS038461 | PA |
| N | 1223E0200X | Endodontist | DS038461 | PA |
| N | 1223G0001X | General Practice | DS038461 | PA |
| N | 213EG0000X | General Practice | DS038461 | PA |
| N | 1223P0221X | Pediatric Dentist | DS038461 | PA |
| N | 1223P0700X | Prosthodontist | DS038461 | PA |
National Provider Identifier
| NPI | 1003259797 |
|---|---|
| Provider Name | Mr. Timothy Mcmichael Theisen |
| First Address | Erie, PA 16509-1443 |
| Second Address | Erie, PA 16509-1443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2013 |
| Last Update Date | 09/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056582 | NYS LICENSE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.