| Dr Jason Allen Thiel, DDS | |
|
105 N Park Ln, Mishicot, WI 54228-9537 | |
| (920) 755-2336 | |
| (920) 755-4930 |
| Full Name | Dr Jason Allen Thiel |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 105 N Park Ln, Mishicot, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407867773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5096-015 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Allen Thiel, DDS 105 N Park Ln, Mishicot, WI 54228-9537 Ph: (920) 755-2336 | Dr Jason Allen Thiel, DDS 105 N Park Ln, Mishicot, WI 54228-9537 Ph: (920) 755-2336 |
Erin Lasslo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 105 North Park Lane, Po 70, Mishicot, WI 54228 Phone: 920-755-2336 | |
Dr. Ronald John Lese, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 N Park Ln, Mishicot, WI 54228 Phone: 920-755-2336 Fax: 920-755-4930 |