Search › Missouri › 122300000X
Jerry Theilen, DDS
NPI 1437342417 · on the registry since 2007
Practice
- Address
- 244 E Us 69 Hwy
Suite 101
Claycomo, MO 64119 - Phone
- (816) 454-1313
- Fax
- (816) 454-5377
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri