Individual provider · Type 1 NPI
John Kelly Theisen, DDS
Dentist · Fort Morgan, CO
Practice location
521 E Railroad Ave
Fort Morgan, CO 80701-3331
Fax (970) 542-9464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 106339 (CO) |
Dentist: 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 requiremen…
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About NPI 1629076989
John Kelly Theisen, DDS's National Provider Identifier is 1629076989, issued on Jul 11, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Morgan, CO. The record was last updated on Jul 13, 2026.