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Mr. Timothy Mcmichael Theisen, DMD
Dentist in Erie, Pennsylvania
NPI 1003259797

Timothy Mcmichael Theisen is a Dentist based in Erie, PA. Timothy Mcmichael Theisen practices in Erie, PA and has the professional credentials of DMD. The NPI Number for Timothy Mcmichael Theisen is 1003259797 and holds a License No. DS038461 (Pennsylvania).

The current practice location address for Timothy Mcmichael Theisen is 4330 Peach St, Erie, PA and can be reached out via phone at 814-315-6209 and via fax at 814-315-6303. You can also correspond with Timothy Mcmichael Theisen through the mailing address at 4330 PEACH ST, ERIE, PA - 16509-1443 (mailing address contact number: 814-315-6209).

Location: 4330 Peach St, Erie, PA, 16509-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003259797
Provider Name
Timothy Mcmichael Theisen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4330 Peach St, Erie, PA, 16509-1443
Phone Number
814-315-6209
Fax Number
814-315-6303
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
056582 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
4330 Peach St
City
Erie
State
Pennsylvania
Zip
16509-1443
Phone Number
814-315-6209
Fax Number
814-315-6303
person
Provider Business Mailing Address Details
Address
4330 Peach St
City
Erie
State
Pennsylvania
Zip
16509-1443
Phone Number
814-315-6209
Fax Number
814-315-6303
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DS038461 (Pennsylvania)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
DS038461 (Pennsylvania)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS038461 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS038461 (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 5
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
DS038461 (Pennsylvania)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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