Deibel, Theodore J
Deibel, Theodore J is an individual health care provider with primary practice located at 8000 Bonhomme Ave Suite 422, Clayton MO 63105-3515. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Deibel, Theodore J can be contacted via phone (314) 725-6999.Contact Information
Primary practice address
8000 Bonhomme Ave Suite 422
Clayton MO 63105-3515
Phone: (314) 725-6999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12133 | Missouri |
Profile Details
| NPI number | 1033108444 |
|---|---|
| LBN Legal business name | Deibel, Theodore J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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