Organization · Type 2 NPI
Conrad C Theiss DMD Inc
Periodontics · Kahului, HI
NPI number
1194054940
Active
Practice location
33 Lono Ave Suite 210
Kahului, HI 96732
Mailing address
33 Lono Ave Ste 210
Kahului, HI 96732-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DT0971 (GU) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1194054940
Conrad C Theiss DMD Inc's National Provider Identifier is 1194054940, issued on Dec 8, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Kahului, HI. The record was last updated on Dec 8, 2009.