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BRIAN M THIELEN NPI 1063076701


NPI Information

NPI: 1063076701
Provider Name: BRIAN M THIELEN
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
110 N OGDEN RD
PESHTIGO, WI
ZIP 54157
Phone: (715) 582-4571
Get Directions

BRIAN M THIELEN is a general practice dentist in Peshtigo, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRIAN M THIELEN NPI is 1063076701. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 N OGDEN RD
PESHTIGO, WI
ZIP 54157-730
Phone: (715) 582-4571
Fax: (715) 582-4986

The provider's authorized official is Brian Thielen .
The authorized official title is Dentist and has the following contact phone number (715) 582-4571.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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