| Sylvania Dental, Greg Theis, Llc | |
|
6000 Renaissance Pl Ste B Toledo OH 43623-4714 | |
| (419) 882-1300 | |
| Not Available |
| Full Name | Sylvania Dental, Greg Theis, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6000 Renaissance Pl, Toledo, Ohio |
| Authorized Official Name and Position | Gregory Theis (OWNER/DENTIST) |
| Authorized Official Contact | 4198821300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvania Dental, Greg Theis, Llc 6000 Renaissance Pl Ste B Toledo OH 43623-4714 Ph: (419) 882-1300 | Sylvania Dental, Greg Theis, Llc 6000 Renaissance Pl Ste B Toledo OH 43623-4714 Ph: (419) 882-1300 |
| NPI Number | 1659716231 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659716231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30021577 (Ohio) | Primary |
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