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Dr. Michael Jonathan Theiss, DDS
Student in an Organized Health Care Education/Training Program in Pembroke Pines, Florida
NPI 1235628991

Michael Jonathan Theiss is a Student in an Organized Health Care Education/Training Program based in Fort Lauderdale, FL. Michael Jonathan Theiss practices in Pembroke Pines, FL and has the professional credentials of DDS. The NPI Number for Michael Jonathan Theiss is 1235628991 and holds a License No. 0442000331 (Florida).

The current practice location address for Michael Jonathan Theiss is 17901 Nw 5Th Street, Pembroke Pines, FL and can be reached out via phone at 954-437-2222 and via fax at 954-437-2244.

Location: 17901 Nw 5Th Street, Pembroke Pines, FL, 33301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235628991
Provider Name
Michael Jonathan Theiss
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
17901 Nw 5Th Street, Pembroke Pines, FL, 33301
Phone Number
954-437-2222
Fax Number
954-437-2244
Provider Enumeration Date
05/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17901 Nw 5Th Street
City
Pembroke Pines
State
Florida
Zip
33029
Phone Number
954-437-2222
Fax Number
954-437-2244
person
Provider Business Mailing Address Details
Address
17901 Nw 5Th Street
City
Pembroke Pines
State
Florida
Zip
33029
Phone Number
954-437-2222
Fax Number
954-437-2244
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
0442000331 (Virginia)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0442000331 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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