Individual
DR. JAMES DAVID THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1118 S FT THOMAS AVE, FT THOMAS, KY 41075
(859) 781-3090
(859) 781-3135
Mailing address
1118 S FT THOMAS AVE, FT THOMAS, KY 41075
(859) 781-3090
(859) 781-3135
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY5558
KY
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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