Organization
JAMES B THEILEN DDS &JERRY E THEILEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B THEILEN DDS (DENTIST PRESIDENT)
(816) 454-1313
Entity
Organization
Contact information
Practice address
244 E US HIGHWAY 69, SUITE 101, CLAYCOMO, MO 64119-3115
(816) 454-1313
(816) 454-5377
Mailing address
244 E US HIGHWAY 69, SUITE 101, CLAYCOMO, MO 64119-3115
(816) 454-1313
(816) 454-5377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12550
MO
122300000X
Dentist
Primary
12551
MO
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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