# CHRISTOPHER THIELEN, D.D.S. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154531341
- **Authorized official:** DR. CHRISTOPHER THIELEN D.D.S. (PRESIDENT)
- **Authorized official phone:** (513) 541-5655

## Contact information

- **Practice address:** 4254 HAMILTON AVE, CINCINNATI, OH 45223-2048
- **Practice address phone:** (513) 541-5655
- **Practice address fax:** (513) 541-5695
- **Mailing address:** 4254 HAMILTON AVE, CINCINNATI, OH 45223-2048
- **Mailing address phone:** (513) 541-5655
- **Mailing address fax:** (513) 541-5695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30-016842 | OH | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/15/2007