Theiss, Michael Jonathan

Theiss, Michael Jonathan is an individual health care provider with primary practice located at 17901 Nw 5Th Street Suite # 101, Pembroke Pines FL 33029. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Theiss, Michael Jonathan can be contacted via phone (954) 437-2222.

Contact Information

Primary practice address
17901 Nw 5Th Street Suite # 101 Pembroke Pines FL 33029
Phone: (954) 437-2222
Fax: (954) 437-2244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0442000331 Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0442000331 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN26758 Florida

Profile Details

NPI number 1235628991
LBN Legal business name Theiss, Michael Jonathan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated May 21st, 2024 - about 2 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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