Individual
DR. KEVIN LEE THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 N EUCLID AVE STE 220, SAINT LOUIS, MO 63108-1407
(314) 228-3994
Mailing address
22 N EUCLID AVE STE 220, SAINT LOUIS, MO 63108-1407
(314) 228-3994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2015018520
MO
Other
Enumeration date
07/11/2015
Last updated
04/15/2026
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