| James B Theilen Dds &jerry E Theilen Dds Pc | |
|
244 E Us Highway 69 Suite 101 Claycomo MO 64119-3115 | |
| (816) 454-1313 | |
| (816) 454-5377 |
| Full Name | James B Theilen Dds &jerry E Theilen Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 244 E Us Highway 69, Claycomo, Missouri |
| Authorized Official Name and Position | James B Theilen (DENTIST PRESIDENT) |
| Authorized Official Contact | 8164541313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B Theilen Dds &jerry E Theilen Dds Pc 244 E Us Highway 69 Suite 101 Claycomo MO 64119-3115 Ph: (816) 454-1313 | James B Theilen Dds &jerry E Theilen Dds Pc 244 E Us Highway 69 Suite 101 Claycomo MO 64119-3115 Ph: (816) 454-1313 |
| NPI Number | 1639268972 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639268972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12550 (Missouri) | Secondary |
| 122300000X | Dentist | 12551 (Missouri) | Primary |