Individual
DR. GREGORY CHRISTOPHER THIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
9015 MOUNTAIN RIDGE DR, HOUSTON BLDG STE 320, AUSTIN, TX 78759-7370
(512) 346-9771
(512) 346-8111
Mailing address
9015 MOUNTAIN RIDGE DR, HOUSTON BLDG STE 320, AUSTIN, TX 78759-7370
(512) 346-9771
(512) 346-8111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671031
UNITED CONCORDIA
TX
01
—
88D976
BCBS
TX
Enumeration date
08/12/2005
Last updated
07/08/2007
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