| David A. Theis, D.d.s., P.a. | |
|
1674 Providence Blvd Deltona FL 32725-4961 | |
| (386) 789-5100 | |
| (386) 789-5116 |
| Full Name | David A. Theis, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1674 Providence Blvd, Deltona, Florida |
| Authorized Official Name and Position | David Alan Theis (OWNER, PRESIDENT) |
| Authorized Official Contact | 3867895100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Theis, D.d.s., P.a. 1674 Providence Blvd Deltona FL 32725-4961 Ph: (386) 789-5100 | David A. Theis, D.d.s., P.a. 1674 Providence Blvd Deltona FL 32725-4961 Ph: (386) 789-5100 |
| NPI Number | 1740381698 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740381698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 5761 (Florida) | Primary |
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