Paul Frederick Thielen
Dental Public Health
318 S Main St
Sebastopol
, California 95472
Paul Frederick Thielen
Dental Public Health
318 S Main St
Sebastopol
, California 95472
(707) 823-2612
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Paul Frederick Thielen
- 318 S Main St
- Sebastopol, CA
- Zip : 95472
- Fax : (707) 823-2612
- Phone : (707) 823-3654
Second Address
- Paul Frederick Thielen
- 318 S Main St
- Sebastopol, CA
- Zip : 95472
- Fax : (707) 823-2612
- Phone : (707) 823-3654
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 29500 | CA |
National Provider Identifier
| NPI | 1275643629 |
|---|---|
| Provider Name | Paul Frederick Thielen |
| First Address | Sebastopol, CA 95472 |
| Second Address | Sebastopol, CA 95472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/07/2007 |
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.