Individual provider · Type 1 NPI

Michael Jonathan Theiss, DDS

Oral and Maxillofacial Surgery (Dentist) · Pembroke Pines, FL

NPI number 1235628991 Active

Practice location

17901 NW 5th Street, Suite # 101
Pembroke Pines, FL 33029

Call (954) 437-2222 Map

Fax (954) 437-2244

Mailing address

790 E Broward Blvd, Unit 2403
Fort Lauderdale, FL 33301

Other practice locations

  • 2600 N Military Trl Ste 350, Boca Raton, FL 33431-6315 · (561) 465-2059

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X0442000331 (VA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X0442000331 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN26758 (FL)

Oral and Maxillofacial Surgery (Dentist): 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.

2 other providers at this address

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About NPI 1235628991

Michael Jonathan Theiss, DDS's National Provider Identifier is 1235628991, issued on May 8, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pembroke Pines, FL. The record was last updated on May 21, 2024.