Individual
DR. DAVID MITCHELL THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5081 EAST SECOND ST, CASPER, WY 82609
(307) 215-7337
Mailing address
5081 EAST SECOND ST, CASPER, WY 82609
(307) 215-7337
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1707
WY
1223G0001X
General Practice Dentistry
DDS-09938
IA
390200000X
Student in an Organized Health Care Education/Training Program
RES-30593
IA
Other
Enumeration date
06/25/2020
Last updated
12/04/2025
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